Mohamed Mansour

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

S4342 Issued in TX

Practice address

21398 Provincial Blvd
Katy, TX 77450-7580

Phone

(346) 707-8978

Fax

(313) 457-1003

NPI assigned

Aug 20, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Care Providers PLLCGroup PAC ID 2567890585, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior Care Providers PLLC

  • Primary Care Clinic/Center
  • Katy, TX
  • NPI 1841824489
  Medicare reassignment Care Compare group Authorized official
• Apex Physician Associates of Texas

  • Family Medicine Physician
  • Houston, TX
  • NPI 1174929186
  Medicare reassignment NPD
• Senior Care Physicians

  • General Practice Physician
  • Dearborn, MI
  • NPI 1164812582
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749945600000",
    "number": "1871809442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ASPLEY CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770943431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21398 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "346-707-8978",
            "fax_number": "313-457-1003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12121 Richmond Ave Ste 216",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770822422",
            "country_code": "US",
            "telephone_number": "346-707-8978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2025-06-15",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301105543",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "S4342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Mangum, DC
• Mann Eye Center, PA
• Jeri Lynn Mann, MA,CCC-SLP
• Manor Clinical Services LLC
• Nicolas Manriquez, DPM
• Ziyad Ahmad Mansur, MD
• Liliana C. Manzano, L.S.A.
• Jeremy Mao
• Tommy Maoz, MD
• Leila Maraghi

• General Practice Physician in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.