Individual
MARYAM QAYUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22704 LOOP 494 STE E, KINGWOOD, TX 77339-2858
(832) 583-7264
(832) 583-7244
Mailing address
22704 LOOP 494 STE E, KINGWOOD, TX 77339-2858
(832) 583-7264
(832) 583-7244
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
K6250
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
K6250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1492701
—
TX
Enumeration date
12/08/2006
Last updated
05/10/2022
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