Shukufa Mansouri, PA-C

NPI #1770171977 in Longview, Texas

Provider Information

NPI Number: 1770171977
Entity Type: Individual
Name: Shukufa Mansouri, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 4, 2021
Last Updated: Oct 9, 2025

Practice Location

Address: CHRISTUS GOOD SHEPHERD MEDICAL CENTER
Address 2: 700 EAST MARSHALL AVENUE
City: Longview
State: Texas
ZIP Code: 75601
Phone: (804) 368-4302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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