NPI age
5 years
Enumerated 2021-01-04
● Active
Type 1 · Individual
Shukufa Mansouri, PA-C
Mansouri is 1 of 49 physician assistant providers in Longview and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Licensed in
VA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
5 years
↓ 5 yr below median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-01Enumerated in NPPES
2021
2026
Where they practice
Practice location
Christus Good Shepherd Medical Center, 700 East Marshall Avenue
Longview, TX 75601
Mailing address
700 E Marshall Ave
Longview, TX 756015580
Additional practice locations
1 secondary location on file with NPPES.
Location 2
14201 Michaux View Way
Midlothian, VA 231136852
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.