Doctor Name: | EDUARDO J MATTA |
NPI Number: | 1235248964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD00046190 |
Business Practice Address: | 6411 Fannin St Houston, TX - 770301501 |
Business Phone Number: | 7137044000 |
Business Fax Number: | 7137045734 |
Mailing Address: | Po Box 201088, HOUSTON |
State: | TX |
Postal Code: | 772161088 |
Phone Number: | 7135003500 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 04/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | MD00046190 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |