Provider Demographics
NPI:1407853518
Name:MONSOUR, HOWARD PAUL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:PAUL
Last Name:MONSOUR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:3 RICHLAND MEDICAL PARK DR STE 120
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6850
Practice Address - Country:US
Practice Address - Phone:803-434-8866
Practice Address - Fax:803-933-3049
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2692207RI0008X, 207RG0100X
SC88642207RT0003X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
No207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8GM527OtherBLUE CROSS BLUE SHIELD
TX8CD788OtherBLUE CROSS BLUE SHIELD
TXP00837097OtherMEDICARE RAILROAD
TX139004918Medicaid
TX139004921Medicaid
TX139004919Medicaid
TXP01031006OtherRR MEDICARE
TX139004920Medicaid
SC886429Medicaid
TX139004915Medicaid
TX139004920Medicaid
TX139004921Medicaid
TX8GM527OtherBLUE CROSS BLUE SHIELD
TX8L19232Medicare PIN