MEDICARE: LAITH MANSOUR NUMAN 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
1	208M00000X	Hospitalist Physician	2020025858	MO
2	207R00000X	Internal Medicine Physician	0101284003	VA
3	207R00000X	Internal Medicine Physician	72516	TN
4	207R00000X	Internal Medicine Physician	2020025858	MO
5	207R00000X	Internal Medicine Physician	U0410	TX
6	207RG0100X	Gastroenterology Physician	U0410	TX

General Provider Information

NPI Number	:	1730611542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAITH MANSOUR NUMAN M.D.

Provider Business Mailing Address
First Line	:	17520 W GRAND PKWY S STE 350
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4760
Country	:	US
Telephone Number	:	281-725-5970
Fax Number	:	281-725-5971

Provider Business Practice Location Address
First Line	:	17520 W GRAND PKWY S STE 350
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479
Country	:	US
Telephone Number	:	281-725-5970
Fax Number	:	281-725-5971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2017
Last Update Date	:	03/12/2026

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