Individual
DR. CANDICE MARTIN DEMATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 HOLDERRIETH BLVD STE 114, TOMBALL, TX 77375-5189
(281) 475-7599
(833) 973-3832
Mailing address
425 HOLDERRIETH BLVD STE 114, TOMBALL, TX 77375-5189
(281) 475-7599
(833) 973-3832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G4046
MEDICARE ID TYPE
TX
Enumeration date
05/24/2006
Last updated
09/04/2024
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