Individual
RICHARD D MAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1004 N MOUND ST, NACOGDOCHES, TX 75961-4437
(936) 559-0711
(936) 559-0732
Mailing address
1004 N MOUND ST, NACOGDOCHES, TX 75961-4437
(936) 559-0711
(936) 559-0732
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K4144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307589
—
TX
01
—
2132098
BLUE LINK ID
TX
01
—
752729878
TAX ID
TX
Enumeration date
10/06/2006
Last updated
06/06/2008
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