Doctor Name: | MARIA CHARRON |
NPI Number: | 1073574091 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | F5494 |
Business Practice Address: | 8845 Six Pines Dr 2nd Floor Shenandoah, TX - 773802675 |
Business Phone Number: | 2813673343 |
Business Fax Number: | 2812921409 |
Mailing Address: | 1140 Cypress Station Dr, Suite 200 HOUSTON |
State: | TX |
Postal Code: | 770903045 |
Phone Number: | 2814405300 |
Fax Number: | 8322325591 |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | F5494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |