Healthcare Provider Details

I. General information

NPI: 1669771804
Provider Name (Legal Business Name): MARION PHOUMMARATH ZAHN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2011
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24044 CINCO VILLAGE CENTER BLVD SUITE 100
KATY TX
77494-8432
US

IV. Provider business mailing address

24044 CINCO VILLAGE CENTER BLVD SUITE 100
KATY TX
77494-8432
US

V. Phone/Fax

Practice location:
  • Phone: 713-975-1222
  • Fax: 888-975-1526
Mailing address:
  • Phone: 713-975-1222
  • Fax: 888-975-1526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number7661
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number34861
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: