Provider Demographics
NPI:1669770400
Name:MANSOOR, ZENAB (MD)
Entity type:Individual
Prefix:DR
First Name:ZENAB
Middle Name:
Last Name:MANSOOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZENAB
Other - Middle Name:
Other - Last Name:MANSOOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1800 BOREN AVE APT 702
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1442
Mailing Address - Country:US
Mailing Address - Phone:314-719-9871
Mailing Address - Fax:314-719-9871
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-5302
Practice Address - Country:US
Practice Address - Phone:409-772-3695
Practice Address - Fax:409-772-3660
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU47002080P0203X, 2080P0203X
FLTRN14430208000000X
MO20200420682080P0203X
MA2509652080P0203X
WAMD61105149208D00000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice