Provider Demographics
NPI:1255364238
Name:MAYES, MAUREEN D (MD)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:D
Last Name:MAYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-6900
Mailing Address - Fax:713-500-0580
Practice Address - Street 1:6410 FANNIN ST
Practice Address - Street 2:600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3000
Practice Address - Country:US
Practice Address - Phone:832-325-7191
Practice Address - Fax:713-512-2246
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL4562207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149628301Medicaid
TX8B8811OtherBCBS
TX8B8811OtherBCBS
TX149628301Medicaid
TX8534B0Medicare PIN