Individual
EBBY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
6621 FANNIN ST STE WT19345C, HOUSTON, TX 77030-2358
(832) 826-5941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10300
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/16/2015
Last updated
07/12/2022
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