Individual
DIMITRIOS SPIROS MANTZOROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1020 RIVERWOOD CT STE 220, CONROE, TX 77304-2974
(936) 756-9191
(936) 756-9197
Mailing address
1020 RIVERWOOD CT STE 220, CONROE, TX 77304-2974
(936) 756-9191
(936) 756-9197
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1068
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110718701
—
TX
Enumeration date
06/24/2006
Last updated
12/27/2024
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