Individual
DR. TODD ANTHONY MARAIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4421 HWY 6 SOUTH, STE 100, COLLEGE STATION, TX 77845
(979) 690-4470
(979) 690-4471
Mailing address
17200 ST LUKES WAY STE 100, THE WOODLANDS, TX 77384-8007
(936) 266-2000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101273994
VA
2084N0400X
Neurology Physician
Primary
H6405
TX
208VP0000X
Pain Medicine Physician
H6405
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N38V
BCBS OF TEXAS
TX
05
—
130461003
—
TX
Enumeration date
08/25/2006
Last updated
08/25/2022
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