Provider Demographics
NPI:1801629043
Name:GAYED, MARIAM (PA-C)
Entity type:Individual
Prefix:
First Name:MARIAM
Middle Name:
Last Name:GAYED
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5460 BLUE QUAIL DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-2153
Mailing Address - Country:US
Mailing Address - Phone:214-436-6262
Mailing Address - Fax:
Practice Address - Street 1:7609 PRESTON RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3415
Practice Address - Country:US
Practice Address - Phone:469-497-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant