Provider Demographics
NPI:1225111206
Name:OWEN S MAAT MD PA
Entity Type:Organization
Organization Name:OWEN S MAAT MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MAAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-668-9800
Mailing Address - Street 1:4710 BELLAIRE BLVD
Mailing Address - Street 2:STE 325
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4526
Mailing Address - Country:US
Mailing Address - Phone:713-668-9800
Mailing Address - Fax:713-668-9819
Practice Address - Street 1:4710 BELLAIRE BLVD
Practice Address - Street 2:STE 325
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4526
Practice Address - Country:US
Practice Address - Phone:713-668-9800
Practice Address - Fax:713-668-9819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5609174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0097LSOtherBCBS OF TEXAS
TX10038077OtherAMERIGROUP
TXDE7511OtherRAILROAD MEDICARE
TX5030547OtherAETNA
TXDE7511OtherRAILROAD MEDICARE
TX10038077OtherAMERIGROUP
TX5030547OtherAETNA