Matorin, Philip Andrew

Matorin, Philip Andrew is an individual health care provider with primary practice located at 12121 Richmond Ave Ste 104 , Houston TX 77082-2420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Matorin, Philip Andrew can be contacted via phone (281) 920-5558.

Contact Information

Primary practice address
12121 Richmond Ave Ste 104 Houston TX 77082-2420
Phone: (281) 920-5558
Fax: (281) 920-5568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X J0103 Texas

Profile Details

NPI number 1407858384
LBN Legal business name Matorin, Philip Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Apr 26th, 2021 - 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 1407858384 NPPES
Texas Other 86042Z RENNAISANCE IPA
Texas Other 741800693 RENNAISANCE IPA
Texas MEDICAID 183307101 RENNAISANCE IPA
Texas Other 8V1030 RENNAISANCE IPA
Texas MEDICAID 038176601 RENNAISANCE IPA

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