Richard D Mau, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

K4144 Issued in TX

Practice address

1004 N Mound St
Nacogdoches, TX 75961-4437

Phone

(936) 559-0711

Fax

(936) 559-0732

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1073600433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614437",
            "telephone_number": "936-559-0711",
            "fax_number": "936-559-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614437",
            "telephone_number": "936-559-0711",
            "fax_number": "936-559-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAU",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K4144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK ID",
            "identifier": "2132098",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "752729878",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307589",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gia Elena Marotta, M.D.
• Adlai Travis Mast III, MD
• Bill Jeffrey Mathias, MD
• Yuko Matsushima
• Marissa Matzenauer
• Renato Agcanas Maulion Jr., PT
• Maura Messer Counseling and Consulting PLLC
• Judith Jean Mayer, LPC
• Sequoyah Mayfield
• Vickie McCarley, SLP

• Cardiovascular Disease Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.