Organization
NASA CASA DE NINOS PEDIATRIC CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDALIA R RIVERA-MATOS MD (PRESIDENT)
(281) 323-9724
Entity
Organization
Contact information
Practice address
13630 BEAMER RD STE 108, HOUSTON, TX 77089
(281) 464-3780
(281) 464-3832
Mailing address
13630 BEAMER RD STE 108, HOUSTON, TX 77089-6037
(281) 464-3780
(281) 464-3832
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J5879
TX
Other
Enumeration date
06/23/2010
Last updated
05/29/2024
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