Individual
DR. SURENA F. MATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L4561
TX
208800000X
Urology Physician
Primary
L4561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153851401
—
TX
01
—
340020494
RR MEDICARE
TX
01
—
8F0662
BCBS
TX
Enumeration date
06/15/2006
Last updated
01/26/2026
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