Individual
BENNETT PUTHIYAVEEDU MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
7902 GRACE CT, ROSENBERG, TX 77469-2172
(908) 477-0720
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
906630
TX
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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