Individual
LILAH S. MANSOUR
Active
Individual
LILAH S. MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
N5835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2164568-01
—
TX
05
—
216456802
—
TX
05
—
216456803
—
TX
01
—
336807YKXV
MEDICARE PTAN
TX
01
—
336807YKXY
MEDICARE PTAN
TX
01
—
8CL139
BCBS IND. NUMBER
TX
Enumeration date
07/31/2006
Last updated
03/31/2023
Update your record
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