Individual
JOAN MASTROBATTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 828-3660
(832) 828-3660
Mailing address
2 GREENWAY PLZ STE 300, HOUSTON, TX 77046-0207
(832) 824-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
J1725
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
J1725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134611601
CSHCN
TX
05
—
134611604
—
TX
01
—
88Y721
BCBS
TX
Enumeration date
06/04/2006
Last updated
05/20/2013
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