Maryam Qayum, MD | |
22704 Loop 494 Ste E, Kingwood, TX 77339-2858 | |
(832) 583-7264 | |
(832) 583-7244 |
Full Name | Maryam Qayum |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 22704 Loop 494 Ste E, Kingwood, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497814966 | NPI | - | NPPES |
1492701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | K6250 (Texas) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | K6250 (Texas) | Primary |
Entity Name | Rcswf Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730457946 PECOS PAC ID: 8527229558 Enrollment ID: O20120418000228 |
Entity Name | Emergency Hospital Systems Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992172019 PECOS PAC ID: 2567765761 Enrollment ID: O20170607000131 |
Entity Name | The Integrative Health Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366914590 PECOS PAC ID: 7012256621 Enrollment ID: O20190226001877 |
Mailing Address | Practice Location Address |
---|---|
Maryam Qayum, MD 22704 Loop 494 Ste E, Kingwood, TX 77339-2858 Ph: (832) 583-7264 | Maryam Qayum, MD 22704 Loop 494 Ste E, Kingwood, TX 77339-2858 Ph: (832) 583-7264 |
Marki Tomiko Fong, PT, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 215 Kingwood Executive Dr Ste 130, Kingwood, TX 77339 Phone: 346-522-2165 Fax: 346-522-2166 |