Provider Demographics
NPI:1821776808
Name:SABRY MANSOUR MD PLC
Entity Type:Organization
Organization Name:SABRY MANSOUR MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SABRY
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:MANSOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-317-1234
Mailing Address - Street 1:25 MILLVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-1643
Mailing Address - Country:US
Mailing Address - Phone:810-538-2020
Mailing Address - Fax:
Practice Address - Street 1:25 MILLVILLE RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-1643
Practice Address - Country:US
Practice Address - Phone:810-538-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site