Active NPI
Maya Sandra Brouette
- Genetic Counselor (M.S.)
- Dallas, TX
National Provider Identifier
1124851274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 6202 Harry Hines Blvd
Dallas, TX 75235 - Phone
- (214) 645-4673
- NPI assigned
- Aug 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | TX | Primary |
Addresses
Primary practice location
6202 Harry Hines Blvd
Dallas, TX 75235
Mailing address
1777 N Record St Apt 3302
Dallas, TX 75202-1262
Phone (708) 603-1345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Community/Retail Pharmacy
- Dallas, TX
- NPI 1659434801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1124851274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 N RECORD ST APT 3302",
"city": "DALLAS",
"state": "TX",
"postal_code": "752021262",
"telephone_number": "708-603-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6202 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75235",
"telephone_number": "214-645-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUETTE",
"first_name": "MAYA",
"middle_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-23",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Brother Bills Helping Hand
- Brotherman and Moninger, LLP
- Brothers & Crochet OBGYN Associates of Dallas LLP
- Sandra Zoe Brothers, M.D.
- Randall James Brotherton
- Jonathan Reeves Brough, M.D.
- Bianca Simone Broughton, LAT, ATC, EMT
- Kirbie Danielle Broughton, MD
- Kristen Broughton, MD
- Michelle Leigh Brouillard, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.