Individual
BAHER BOUTROS MAXIMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 WAUGH DR, STE.200, HOUSTON, TX 77019-2000
(716) 598-6040
Mailing address
PO BOX 130455, HOUSTON, TX 77219-0455
(716) 598-6040
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
N6486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275962037
GROUP TAX ID
TX
Enumeration date
04/18/2009
Last updated
04/19/2016
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