Individual
VIVEK MATHEW JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6431 FANNIN ST, SUITE MSB 5.036, HOUSTON, TX 77030-1501
(713) 486-5000
(713) 383-1410
Mailing address
6431 FANNIN ST, MSB 5.036, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01088402A
IN
207Y00000X
Otolaryngology Physician
Primary
V8656
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2017
Last updated
01/21/2026
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