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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIAN AYENSU, M.D.

Deactivated

MARIAN AYENSU, M.D. is a Pediatrics healthcare provider located in GEORGETOWN, Texas. NPI 1891361580 is deactivated in the NPPES registry. Verify at CMS.

Pediatrics · GEORGETOWN, TX

This NPI has been deactivated. The record was deactivated on November 28, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1891361580
Provider Type
Individual
Gender
Female
NPI Issued
Jun 2, 2021 (1.4904109589041 yrs)
Last Updated
Jun 27, 2025
Deactivated
Nov 28, 2022
License
U8946 (TX)

Practice Information

Address
2423 WILLIAMS DR STE 103
GEORGETOWN, TX, 786283200
Browse TX providers · Browse ZIP 78628
Phone
8778005722
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in GEORGETOWN, TX

Name Credential NPI
DR. DANA LEE SIMMANG M.D. 1336143080
MR. LEROY T SOTO M.D. 1174523450
KATHLEEN VICTORIA BUTLER MD 1962490870
MRS. ELENA I MEZA MD 1710948559
DR. LARRY RALPH FANE M. D. 1992754345
DR. DORIS EILEEN HOSSALLA MD 1275626566
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.