Provider Demographics
NPI:1457738817
Name:CUERVO, MARIA CATALINA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CATALINA
Last Name:CUERVO
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14008 SHADOWGLEN BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:MANOR
Mailing Address - State:TX
Mailing Address - Zip Code:78653-3406
Mailing Address - Country:US
Mailing Address - Phone:512-978-9780
Mailing Address - Fax:
Practice Address - Street 1:14008 SHADOWGLEN BLVD STE 302
Practice Address - Street 2:
Practice Address - City:MANOR
Practice Address - State:TX
Practice Address - Zip Code:78653-3406
Practice Address - Country:US
Practice Address - Phone:512-978-9780
Practice Address - Fax:512-901-9739
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT1042207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine