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Organization
SHAHID MANSOOR, MD. A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
SHAHID MANSOOR, MD. A PROFESSIONAL MEDICAL CORPORATION
Active
Parent organization
SHAHID MANSOOR, M.D. (A PROFESSIONAL MEDICAL CORPORATION)
Other names
Healthy Steps Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAHID MANSOOR, M.D. (A PROFESSIONAL MEDICAL CORPORATION)
Authorized official
MRS. KRISTA RACHAL (ADMINISTRATOR)
(318) 484-3899
Entity
Organization
Contact information
Practice address
192 STILLEY RD, PINEVILLE, LA 71360-5933
(318) 484-3401
(318) 484-3402
Mailing address
192 STILLEY RD, PINEVILLE, LA 71360-5933
(318) 484-3401
(318) 484-3402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/08/2008
Last updated
01/13/2017
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