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NPI Code Detail

MEDICARE: HAZEM ELMANSY M.D.

MEDICARE: HAZEM ELMANSY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianV6295TX

General Provider Information

NPI Number : 1134673999
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAZEM ELMANSY M.D.
Provider Business Mailing Address
First Line : 6560 FANNIN ST STE 2100
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2769
Country : US
Telephone Number : 713-441-6455
Fax Number : 713-790-4456
Provider Business Practice Location Address
First Line : 6560 FANNIN ST STE 2100
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2769
Country : US
Telephone Number : 713-441-6455
Fax Number : 713-790-4456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2016
Last Update Date : 08/12/2025

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