Provider Demographics
NPI:1659618221
Name:MANSOUR NAVID ORTHO PA
Entity Type:Organization
Organization Name:MANSOUR NAVID ORTHO PA
Other - Org Name:DBA NORTH HOUSTON ORTHOPEDICS AND SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:MANSOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:281-746-3070
Mailing Address - Street 1:800 PEAKWOOD DR
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2900
Mailing Address - Country:US
Mailing Address - Phone:281-746-3070
Mailing Address - Fax:281-970-5118
Practice Address - Street 1:800 PEAKWOOD DR
Practice Address - Street 2:SUITE 3A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2900
Practice Address - Country:US
Practice Address - Phone:281-746-3070
Practice Address - Fax:281-970-5118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1125207XX0801X
TXL6540207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty