JOE MANSOUR NPI 1083021125

NPI Information

  • NPI: 1083021125
  • Provider Name: JOE MANSOUR
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 11805 OLDWICK CIR
    OKLAHOMA CITY, OK
    ZIP 73162
  • Phone: (405) 361-8080

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NPI Details

JOE MANSOUR is a multi-specialty clinic center in Oklahoma City, OK. JOE MANSOUR NPI is 1083021125. The provider is registered as an organization entity type.

The provider's business location address is:

11805 OLDWICK CIR
OKLAHOMA CITY, OK
ZIP 73162-225
Phone: (405) 361-8080

The provider's authorized official is Joe Mansour .
The authorized official title is Staff Pharmacist and has the following contact phone number (405) 361-8080.

The enumeration date for this NPI number is 7/21/2014 and was last updated on 7/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QX0100XClinic/CenterOccupational Medicine23225TEXASNo
2261QM1300XClinic/CenterMulti-Specialty9876OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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