Individual
IBRAHIN RODRIGUEZ MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5825 GULFTON ST APT 3117, HOUSTON, TX 77081-2519
(832) 342-4575
Mailing address
5825 GULFTON ST APT 3117, HOUSTON, TX 77081-2519
(832) 342-4575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
950698
TX
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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