Provider Demographics
NPI:1427248970
Name:MAI, MINH Q (MD)
Entity type:Individual
Prefix:
First Name:MINH
Middle Name:Q
Last Name:MAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:13480 VETERANS MEMORIAL DR STE R1
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1670
Mailing Address - Country:US
Mailing Address - Phone:281-587-1600
Mailing Address - Fax:281-587-1601
Practice Address - Street 1:3648 CYPRESS CREEK PKWY STE 240
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3609
Practice Address - Country:US
Practice Address - Phone:832-604-9944
Practice Address - Fax:713-424-4899
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3763207Q00000X, 208M00000X, 207R00000X
LAMD.203379208M00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1077615Medicaid
MS01031343Medicaid
LA4M4397061Medicare PIN