Provider Demographics
NPI:1871319285
Name:ABUMANSOUR, MALIK ABDULAZIZ (BDS)
Entity type:Individual
Prefix:MR
First Name:MALIK
Middle Name:ABDULAZIZ
Last Name:ABUMANSOUR
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 CAMBRIDGE
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054
Mailing Address - Country:US
Mailing Address - Phone:713-486-4347
Mailing Address - Fax:713-486-4353
Practice Address - Street 1:7500 CAMBRIDGE
Practice Address - Street 2:SUITE 2300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:713-486-4347
Practice Address - Fax:713-486-4353
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program