Individual
MATTHEW TREVOR HARBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6431 FANNIN ST, MSB 1.122, HOUSTON, TX 77030-1501
(713) 500-6714
Mailing address
6431 FANNIN ST, MSB 1.122, HOUSTON, TX 77030-1501
(713) 500-6714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
FTL 41880
TX
207R00000X
Internal Medicine Physician
M9344
TX
208000000X
Pediatrics Physician
FTL 41880
TX
208M00000X
Hospitalist Physician
Primary
M9344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AG684
BCBSTX
—
01
—
I61065
UPIN
—
Enumeration date
08/15/2006
Last updated
11/18/2025
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