Matherne, Jason Earl

Matherne, Jason Earl is an individual health care provider with primary practice located at 3530 Fannin St , Beaumont TX 77701-3805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Matherne, Jason Earl can be contacted via phone (409) 842-8222.

Contact Information

Primary practice address
3530 Fannin St Beaumont TX 77701-3805
Phone: (409) 842-8222
Fax: (409) 842-8244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X L3744 Texas

Profile Details

NPI number 1679670681
LBN Legal business name Matherne, Jason Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679670681 NPPES
Texas MEDICAID 152655003
Texas MEDICAID 121679805
Texas MEDICAID 121679801
Texas Other N0123265
Texas MEDICAID 121679802
Texas MEDICAID 152655004

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