Individual
LUIS MATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
1631 NORTH LOOP W STE 240, HOUSTON, TX 77008-1548
(713) 465-7979
Mailing address
1631 NORTH LOOP W, HOUSTON, TX 77008-1500
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
SA0045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA0045
LICENSE
TX
Enumeration date
05/22/2007
Last updated
07/08/2007
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