Provider Demographics
NPI:1396746830
Name:MACCATO, MAURIZIO L (MD)
Entity type:Individual
Prefix:DR
First Name:MAURIZIO
Middle Name:L
Last Name:MACCATO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7900 FANNIN ST
Mailing Address - Street 2:SUITE 2650
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2934
Mailing Address - Country:US
Mailing Address - Phone:713-797-1119
Mailing Address - Fax:713-796-9747
Practice Address - Street 1:7900 FANNIN ST
Practice Address - Street 2:SUITE 2650
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2934
Practice Address - Country:US
Practice Address - Phone:713-797-1119
Practice Address - Fax:713-796-9747
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2022-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH3909207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13-5443309Medicaid
TXTXB119823Medicare PIN