Provider Demographics
NPI:1063672111
Name:MCCOY, AYESHA MARYAM (MD)
Entity Type:Individual
Prefix:
First Name:AYESHA
Middle Name:MARYAM
Last Name:MCCOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 KINGWOOD MEDICAL DR STE A500
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6014
Mailing Address - Country:US
Mailing Address - Phone:713-470-7483
Mailing Address - Fax:281-358-0609
Practice Address - Street 1:201 KINGWOOD MEDICAL DR STE A500
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6014
Practice Address - Country:US
Practice Address - Phone:713-470-7483
Practice Address - Fax:281-358-0609
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP0851207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology