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Individual

DR. RENEE I MATOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A99972
CA
208000000X
Pediatrics Physician
BP10023219
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
P5552
TX

Other

Enumeration date
04/06/2007
Last updated
01/04/2021
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