Provider Demographics
NPI:1720202294
Name:BIDROS, MARIA S (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:S
Last Name:BIDROS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:S
Other - Last Name:D'SOUZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:902 FROSTWOOD DR STE 284
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2403
Mailing Address - Country:US
Mailing Address - Phone:832-667-8254
Mailing Address - Fax:
Practice Address - Street 1:902 FROSTWOOD DR STE 284
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2403
Practice Address - Country:US
Practice Address - Phone:832-667-8254
Practice Address - Fax:346-227-8991
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.206458207W00000X
TXR6977207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology