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Dr. Bobbak Mansouri

Dermatologist

508 Medical Center Blvd Ste 380
Conroe , Texas 77304-2954

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Dr. Bobbak Mansouri

Dermatologist

508 Medical Center Blvd Ste 380
Conroe , Texas 77304-2954

(903) 534-6200

Write a Review Save Call

Dr. Bobbak Mansouri

Dermatologist

508 Medical Center Blvd Ste 380
Conroe , Texas 77304-2954

(903) 534-6200 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dermatologist

Languages spoken

  • English

Location

508 Medical Center Blvd Ste 380 Conroe , Texas 77304-2954

First Address

  • Dr. Bobbak Mansouri
  • 1367 Dominion Plz
  • Tyler, TX
  • Zip : 75703-1013
  • Phone : (903) 534-6200

Second Address

  • Dr. Bobbak Mansouri
  • 508 Medical Center Blvd Ste 380
  • Conroe, TX
  • Zip : 77304-2954
  • Phone : (281) 573-8333

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FAQs


Where did Dr. Bobbak Mansouri attend graduate school?

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Where did Dr. Bobbak Mansouri do his residency?

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Where did Dr. Bobbak Mansouri do his fellowship?

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Is Dr. Bobbak Mansouri board certified?

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What type of doctor is Dr. Bobbak Mansouri

Dermatologist

In what state does Dr. Bobbak Mansouri practice in?

Texas

Where is Dr. Bobbak Mansouri ’s practice located?

508 Medical Center Blvd Ste 380 , Conroe, Texas, 77304-2954

What is Dr. Bobbak Mansouri ’s gender?

Male

Is Dr. Bobbak Mansouri a sole practitioner?

No

Is Dr. Bobbak Mansouri accepting new patients?

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What languages does Dr. Bobbak Mansouri speak?

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Does Dr. Bobbak Mansouri accept insurance?

Yes, Dr. Bobbak Mansouri accepts insurance

Does Dr. Bobbak Mansouri offers telemedicine?

Dr. Bobbak Mansouri has not indicated if he offers telemedicine

What is Dr. Bobbak Mansouri ’s professional license number?

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What is Dr. Bobbak Mansouri ’s NPI number?

1053604389

Does Dr. Bobbak Mansouri have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207N00000X Dermatologist P6025 TX

National Provider Identifier

NPI 1053604389
Provider Name Dr. Bobbak Mansouri
First Address Tyler, TX 75703-1013
Second Address Conroe, TX 77304-2954
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/05/2011
Last Update Date 18/01/2022

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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