MEDICARE: MAUREEN D POUX, DMD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1568727469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAUREEN D POUX, DMD, PA

Provider Business Mailing Address
First Line	:	2280 HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4224
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2280 HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4224
Country	:	US
Telephone Number	:	267-207-4517
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MAUREEN POUX
Credential	:	DMD
Telephone Number	:	267-207-4517

Provider Enumeration Date	:	07/07/2012
Last Update Date	:	07/07/2012

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