Individual
MATTHEW HARTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6410 FANNIN ST, SUITE 950, HOUSTON, TX 77030-3000
(832) 325-7234
(713) 512-2221
Mailing address
6431 FANNIN ST, SUITE 5.220, HOUSTON, TX 77030-1501
(713) 500-7398
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
MD 60221950
WA
2086S0120X
Pediatric Surgery Physician
Primary
P5988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322059201
—
TX
01
—
8DV043
BCBS
TX
Enumeration date
07/14/2008
Last updated
08/07/2014
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