Mathis, Kenneth B

Mathis, Kenneth B is an individual health care provider with primary practice located at 6400 Fannin St Ste 1700 , Houston TX 77030-1526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mathis, Kenneth B can be contacted via phone (713) 486-5555.

Contact Information

Primary practice address
6400 Fannin St Ste 1700 Houston TX 77030-1526
Phone: (713) 486-5555
Fax: (713) 486-7533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X H0610 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X H0610 Texas

Profile Details

NPI number 1912940487
LBN Legal business name Mathis, Kenneth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 25th, 2022 - about 3 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 1912940487 NPPES
Texas Other 8S9717 BCBS

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