MOURAD LABIB MANSOUR (NPI# 1275561656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275561656 |
| Entity Type | Individual |
| Full Name | MOURAD LABIB MANSOUR |
| Credential | MD |
| Practice Address |
3001 W Illinois Ave Ste: 8a Midland TX 79701-3180 |
| Practice Telephone | 4326834773 |
| Practice Fax Number | 4326834773 |
| Mailing Telephone | 4326834773 |
| Mailing Fax Number | 4326834773 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | F1134 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | 751764435797010000 | 01 | |
| TX | 1120818-01 | 05 |
| Street Address |
3001 W ILLINOIS AVE STE: 8A |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-3180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033108501 | Basin Cardiothoracic Surgical Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3001 W Illinois Ave, 3001 W. Illinois, Suite 1a, Midland, TX 79701-3180 | 2005-10-18 |
| 1770815235 | Elizabeth Clarke Stewart | Dental Hygienist | 3001 W Illinois Ave, Suite 6a, Midland, TX 79701-3180 | 2010-02-09 |
| 1093945156 | Basin Cardiothoracic & Vascular Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3001 W Illinois Ave, Suite 1a, Midland, TX 79701-3180 | 2009-07-22 |
| 1295997807 | William Andrew Pack | Dentist | 3001 W Illinois Ave, Suite 1b1, Midland, TX 79701-3180 | 2008-06-26 |
| 1487795019 | Nirupama Talwalkar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3001 W Illinois Ave, Suite 3b1, Midland, TX 79701-3180 | 2007-02-08 |
| 1972605277 | James Allen Holman Jr. | Dentist | 3001 W Illinois Ave, Suite 6a, Midland, TX 79701-3180 | 2006-09-05 |
| 1285741264 | James R Carrell | Dentist | 3001 W Illinois Ave, Suite 1b3, Midland, TX 79701-3180 | 2006-08-24 |
| 1275572117 | Nirupama Talwalkar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3001 W Illinois Ave, Suite 3b1, Midland, TX 79701-3180 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124586862 | Midessa Integrative Medicine | Internal Medicine | 4311 Andrew Hwy, B, Midland, TX 79703-4823 | 2019-03-12 |
| 1558857177 | Midland Ambulatory Surgery Center, LLC | Internal Medicine | 2106 N Midland Dr Ste 100, Midland, TX 79707-5503 | 2018-07-06 |
| 1932541406 | Madhavi Gadiraju | Internal Medicine | 2402 W Wall St Ste 2, Midland, TX 79701-6316 | 2013-07-24 |
| 1346541943 | Stephen L Wiesenfeld | Internal Medicine | 3102 Shell Ave, Midland, TX 79705-8237 | 2010-11-12 |
| 1689989238 | Sentinel Medical Group Pllc | Internal Medicine | 4706 Greentree Blvd, Midland, TX 79707-1610 | 2010-08-06 |
| 1306167309 | Maung K Hlaing | Internal Medicine | 4805 Briarwood Ave, Apt E 206, Midland, TX 79707-2625 | 2010-06-14 |
| 1073833075 | Phillip Hyunsuk Chae | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 100, Craddick Medical Office Bldg., Midland, TX 79701-5849 | 2010-06-02 |
| 1306162557 | Leela Kumar Lella | Internal Medicine | 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701-5856 | 2010-04-13 |
| 1497985188 | Vikram Reddy Vadyala | Internal Medicine | 2817 W Loop 250 N Ste A, Midland, TX 79705-3205 | 2009-07-16 |
| 1295969699 | Ramakrishna Thokala | Internal Medicine | 3302 W Golf Course Rd Ste 100, Midland, TX 79703 | 2009-05-13 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.