Individual
EMILE MATHURIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9810 FM-1960 BYPASS RD. W., STE 115, HUMBLE, TX 77338
(713) 691-5252
Mailing address
PO BOX 5352, KINGWOOD, TX 77325-5352
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J4907
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126596906
—
TX
01
—
182746300
FEDERAL WORKERS COMP
TX
01
—
250007825
RAIL ROAD MEDICARE
TX
01
—
4573189
AETNA
TX
01
—
8AJ843
BC/BS
—
Enumeration date
05/23/2005
Last updated
10/30/2008
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