Healthcare Provider Details

I. General information

NPI: 1356104889
Provider Name (Legal Business Name): BMT PHYSICIANS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 KINGWOOD MEDICAL DR STE 200
KINGWOOD TX
77339-6408
US

IV. Provider business mailing address

451 KINGWOOD MEDICAL DR STE 200
KINGWOOD TX
77339-6408
US

V. Phone/Fax

Practice location:
  • Phone: 281-359-2080
  • Fax: 281-359-2421
Mailing address:
  • Phone: 281-359-2080
  • Fax: 281-359-2421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA BERDAYES-BOWLES
Title or Position: PHYSICIAN
Credential: DO
Phone: 281-359-2080