Individual provider · Type 1 NPI
Amanda Mansouri, MD
General Practice Physician · Austin, TX
NPI number
1407205354
Active
Practice location
4701 Monterey Oaks Blvd Apt 325, Not A Physical Location
Austin, TX 78749-1083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 62255 (TN) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1407205354
Amanda Mansouri, MD's National Provider Identifier is 1407205354, issued on Jun 10, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Austin, TX. The record was last updated on Jun 19, 2023.