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Organization
MSK CLINIC
Active
Organization
MSK CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM MANSOUR MD (DOCTOR)
(512) 900-7800
Entity
Organization
Contact information
Practice address
12129 RR 620 N STE 610, AUSTIN, TX 78750-1086
(512) 900-7800
(833) 463-1693
Mailing address
12129 RR 620 N STE 610, AUSTIN, TX 78750-1086
(512) 900-7800
(833) 463-1693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
10/11/2024
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