Individual
DR. BOBBAK MANSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 MEDICAL CENTER BLVD STE 380, CONROE, TX 77304-2954
(281) 573-8333
Mailing address
1367 DOMINION PLZ, TYLER, TX 75703-1013
(903) 534-6200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P6025
TX
Other
Enumeration date
05/19/2011
Last updated
01/18/2022
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