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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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