Healthcare Provider Details

I. General information

NPI: 1629026620
Provider Name (Legal Business Name): TUAN H. MAI D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10904 SCARSDALE BLVD
HOUSTON TX
77089-6035
US

IV. Provider business mailing address

10904 SCARSDALE BLVD. #275
HOUSTON TX
77089
US

V. Phone/Fax

Practice location:
  • Phone: 713-429-4123
  • Fax: 713-429-5289
Mailing address:
  • Phone: 713-429-4123
  • Fax: 713-429-5289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberTX1570
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: