Provider Demographics
NPI:1730611542
Name:NUMAN, LAITH MANSOUR (MD)
Entity type:Individual
Prefix:
First Name:LAITH
Middle Name:MANSOUR
Last Name:NUMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17520 W GRAND PKWY S STE 350
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4760
Mailing Address - Country:US
Mailing Address - Phone:281-725-5970
Mailing Address - Fax:281-725-5971
Practice Address - Street 1:17520 W GRAND PKWY S STE 350
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-725-5970
Practice Address - Fax:281-725-5971
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101284003207R00000X
TN72516207R00000X
MO2020025858207R00000X, 208M00000X
TXU0410207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist