Individual
EDUARDO J MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M7409
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187016401
—
TX
01
—
187016403
CSHCN
TX
01
—
8W2049
BCBS
TX
Enumeration date
08/29/2006
Last updated
12/23/2025
Update your record
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