Active NPI
Mai Medical
- Internal Medicine Physician
- Stafford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MAI MEDICAL
- Practice address
- 4807 Sugar Grove Blvd Ste 302
Stafford, TX 77477-2654 - Phone
- (713) 999-2860
- Fax
- (713) 999-2689
- NPI assigned
- Mar 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Trevino
- Title
- Manager
- Phone
- (832) 604-9944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4807 Sugar Grove Blvd Ste 302
Stafford, TX 77477-2654
Mailing address
4807 Sugar Grove Blvd Ste 302
Stafford, TX 77477-2654
Phone (713) 999-2860
Other practice location 1
3648 Cypress Creek Pkwy Ste 240
Houston, TX 77068-3609
Phone (832) 604-9944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2289523 | Mai Medical PA | Certificate of waiver | Sep 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
3648 Cypress Creek Pkwy
Ste 240
Houston, TX 77068
Phone (832) 604-9944
4807 Sugar Grove Blvd
Ste 302
Stafford, TX 77477
Phone (713) 999-2860
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1427248970
-
- Internal Medicine Physician
- Houston, TX
- NPI 1649491648
-
- Physician Assistant
- Goldthwaite, TX
- NPI 1336336288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773273600000",
"number": "1972205656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4807 SUGAR GROVE BLVD STE 302",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774772654",
"telephone_number": "713-999-2860",
"fax_number": "713-999-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4807 SUGAR GROVE BLVD STE 302",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774772654",
"telephone_number": "713-999-2860",
"fax_number": "713-999-2689"
}
],
"practiceLocations": [
{
"address_1": "3648 Cypress Creek Pkwy Ste 240",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770683609",
"country_code": "US",
"telephone_number": "832-604-9944",
"fax_number": "713-424-4899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAI MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-20",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A",
"authorized_official_last_name": "TREVINO",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "832-604-9944"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.