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Individual

ANU A MATORIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2000
Mailing address
2 GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1835

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J0102
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136114907
TX
01
86805J
BCBS
TX
Enumeration date
07/10/2006
Last updated
07/30/2010
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