Individual
AMBER MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
16007 VIA SHAVANO STE 101, SAN ANTONIO, TX 78249-2359
(210) 492-1666
(210) 615-9400
Mailing address
610 CYPRESS TRL, SAN ANTONIO, TX 78256-1613
(405) 550-3712
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
S1176
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10049508
TX
Other
Enumeration date
05/28/2014
Last updated
07/15/2019
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