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Organization
PHILIP A MATORIN MD PA
Active
Organization
PHILIP A MATORIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP A MATORIN M.D. (PRESIDENT)
(281) 920-5558
Entity
Organization
Contact information
Practice address
12121 RICHMOND AVE, SUITE #304, HOUSTON, TX 77082-2432
(281) 920-5558
(281) 920-5568
Mailing address
12121 RICHMOND AVE, SUITE #304, HOUSTON, TX 77082-2437
(281) 920-5558
(281) 920-5568
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
J0103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008NJ
BLUE CROSS GROUP ID
—
01
—
1208665
AETNA
TX
05
—
183307101
—
TX
Enumeration date
07/05/2006
Last updated
11/26/2007
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