Individual
BADIE S MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NE 10TH ST, OUPB 4300, OKLAHOMA CITY, OK 73104-5417
(405) 271-7255
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
10423
OK
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
10423
OK
208VP0000X
Pain Medicine Physician
10423
OK
Other
Enumeration date
03/09/2006
Last updated
12/09/2014
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