Individual
ROBERT C MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12951 SOUTH FWY, HOUSTON, TX 77047-1923
(713) 526-5771
(713) 526-2036
Mailing address
PO BOX 4346, DEPT 573, HOUSTON, TX 77210-4346
(713) 331-1850
(713) 521-7710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H2574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137707905
—
TX
01
—
300060532
MEDICARE RAILROAD
TX
Enumeration date
11/08/2005
Last updated
12/06/2007
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