Mansour, Richard Preston

Mansour, Richard Preston is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Medicine Hematology, Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mansour, Richard Preston can be contacted via phone (318) 813-1057.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Medicine Hematology Shreveport LA 71103-4228
Phone: (318) 813-1057
Fax: (318) 813-1055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 013933 Louisiana

Profile Details

NPI number 1447271739
LBN Legal business name Mansour, Richard Preston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 19th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447271739 NPPES
Louisiana MEDICAID 1199966

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