MEDICARE: MEGAN POYNOT COUVILLION MD

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	207N00000X	Dermatology Physician	R2313	TX

General Provider Information

NPI Number	:	1760724157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN POYNOT COUVILLION MD

Provider Business Mailing Address
First Line	:	1802 BINZ ST.
Second Line	:	SUITE 500
City	:	HOUSTON
State	:	TX
Zip	:	77004-7208
Country	:	US
Telephone Number	:	713-900-3900
Fax Number	:	713-900-3903

Provider Business Practice Location Address
First Line	:	1802 BINZ ST.
Second Line	:	SUITE 500
City	:	HOUSTON
State	:	TX
Zip	:	77004-7208
Country	:	US
Telephone Number	:	713-900-3900
Fax Number	:	713-900-3903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2013
Last Update Date	:	12/08/2025

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