Individual
DR. PHILIP ANDREW MATORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12121 RICHMOND AVE STE 104, HOUSTON, TX 77082-2420
(281) 920-5558
(281) 920-5568
Mailing address
12121 RICHMOND AVE STE 104, HOUSTON, TX 77082-2420
(281) 920-5558
(281) 920-5568
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
J0103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038176601
—
TX
05
—
183307101
—
TX
01
—
741800693
UNITED HEALTHCARE
—
01
—
86042Z
RENNAISANCE IPA
TX
01
—
8V1030
BLUE CROSS
—
Enumeration date
08/11/2005
Last updated
04/26/2021
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