Provider Demographics
NPI:1396990867
Name:POUX, MAUREEN DINAH (DMD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:DINAH
Last Name:POUX
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 701248
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77270-1248
Mailing Address - Country:US
Mailing Address - Phone:915-915-1999
Mailing Address - Fax:
Practice Address - Street 1:11165 LA QUINTA PL
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-5221
Practice Address - Country:US
Practice Address - Phone:915-591-1999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX238181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry