IndividualActive
Amanda Mansouri, M.D.
NPI 1407205354 · General Practice Physician · Austin, TX
Provider details
- NPI number
- 1407205354
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 62255 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4701 Monterey Oaks Blvd Apt 325
Not a Physical Location
Austin, TX 78749-1083
Phone: (865) 274-1074
Approximate (ZIP-level) locationGet directions
Mailing address
4701 Monterey Oaks Blvd Apt 325
Austin, TX 78749-1083
Registry dates
- Enumerated
- 2016-06-10
- Last updated
- 2023-06-19
- Certified
- 2023-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.