Provider Demographics
NPI:1093248650
Name:AU, MONIQUE (MD)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:AU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 HIGHWAY 6 STE 110
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5149
Mailing Address - Country:US
Mailing Address - Phone:812-760-6532
Mailing Address - Fax:
Practice Address - Street 1:8330 HIGHWAY 6 STE 110
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5149
Practice Address - Country:US
Practice Address - Phone:281-276-0653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS3787207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine