Individual
REBECA MATAMOROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6311 BUFFALO SPEEDWAY, HOUSTON, TX 77005
(713) 301-1498
Mailing address
6311 BUFFALO SPEEDWAY, HOUSTON, TX 77005-3309
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80473
TX
Other
Enumeration date
12/08/2017
Last updated
08/22/2018
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