Individual
DR. MATIAS JAVIER NAUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 DR MICHAEL DEBAKEY DR, SUITE 100 C&D, LAKE CHARLES, LA 70601-5864
(337) 430-3150
(337) 430-3158
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO.000459
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2399837
—
LA
Enumeration date
06/09/2011
Last updated
05/02/2017
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