Mattox, Kenneth L.

Mattox, Kenneth L. is an individual health care provider with primary practice located at 1504 Taub Loop , Houston TX 77030-1608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mattox, Kenneth L. can be contacted via phone (713) 873-8890.

Contact Information

Primary practice address
1504 Taub Loop Houston TX 77030-1608
Phone: (713) 873-8890
Fax: (713) 873-8898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X D1724 Texas

Profile Details

NPI number 1447349816
LBN Legal business name Mattox, Kenneth L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Apr 11th, 2011 - about 14 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 1447349816 NPPES
Texas MEDICAID 115298501

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