NPI 1053604389

Bobbak Mansouri, MD

Practitioner Dermatology Physician Conroe, TX

Practice location

Address: 508 Medical Center Blvd STE 380, Conroe, TX 77304-2954
Phone: (281) 573-8333
Mailing address: 1367 Dominion Plz, Tyler, TX 75703-1013

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence P6025 (TX)

Other Dermatology providers in Texas →

Registry record

NPI: 1053604389
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2011
Record last updated: 18 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.