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Individual
DR. SURENA F. MATIN
Active
Individual
DR. SURENA F. MATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L4561
TX
208800000X
Urology Physician
Primary
L4561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153851401
—
TX
01
—
340020494
RR MEDICARE
TX
01
—
8F0662
BCBS
TX
Enumeration date
06/15/2006
Last updated
01/26/2026
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