MEDICARE: MARILYN BARBARA MAYER 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	207R00000X	Internal Medicine Physician	J2191	TX

General Provider Information

NPI Number	:	1205818853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYN BARBARA MAYER MD

Provider Business Mailing Address
First Line	:	21216 NORTHWEST FWY
Second Line	:	SUITE 560
City	:	CYPRESS
State	:	TX
Zip	:	77429-4695
Country	:	US
Telephone Number	:	832-756-2976
Fax Number	:	281-469-4572

Provider Business Practice Location Address
First Line	:	21216 NORTHWEST FWY
Second Line	:	SUITE 560
City	:	CYPRESS
State	:	TX
Zip	:	77429-4695
Country	:	US
Telephone Number	:	832-756-2976
Fax Number	:	281-469-4572

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	06/26/2025

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