Individual
BENJAMIN MATIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030
(713) 441-2092
Mailing address
2718 GINGER COVE LN PEARLAND TX 77584, PEARLAND, TX 77584
(713) 493-1713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
924543
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1127807
TX
Other
Enumeration date
06/26/2023
Last updated
08/04/2023
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