Individual
DR. PETER M MATHENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 RINGOLD ST, HOUSTON, TX 77088-6368
(281) 260-3443
Mailing address
818 RINGOLD ST, HOUSTON, TX 77088-6368
(281) 513-2529
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
50554
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50554
50554
TX
Enumeration date
08/07/2018
Last updated
08/07/2018
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