Organization
MATOS SURGICAL FIRST ASSISTANT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASIEL MATOS (AUTHORIZED OFFICIAL)
(281) 463-6309
Entity
Organization
Contact information
Practice address
19618 LITTLE PINE LN, KATY, TX 77449-2673
(281) 463-6309
(281) 463-6835
Mailing address
19618 LITTLE PINE LN, KATY, TX 77449-2673
(281) 463-6309
(281) 463-6835
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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