Individual
MISS SARAH RUTH MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2401 S. 31ST ST., TEMPLE, TX 76508
(254) 724-0454
Mailing address
2401 S. 31ST ST., TEMPLE, TX 76508
(254) 724-0454
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05054
TX
Other
Enumeration date
01/30/2007
Last updated
09/16/2010
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