# DIMITRIOS MANTZOROS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154571883
- **Authorized official:** DR. DIMITRIOS MANTZOROS D.P.M. (PHYSICIAN)
- **Authorized official phone:** (936) 756-9191

## Contact information

- **Practice address:** 100 MEDICAL CENTER BLVD, STE 216, CONROE, TX 77304-2888
- **Practice address phone:** (936) 756-9191
- **Mailing address:** 100 MEDICAL CENTER BLVD, STE 216, CONROE, TX 77304-2888
- **Mailing address phone:** (936) 756-9191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1068 | TX | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 04/14/2016