Individual
MATTHEW MITSURU HANASONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
L9228
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
L9228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176696601
—
TX
01
—
8B5931
BCBS
TX
Enumeration date
09/20/2006
Last updated
01/30/2026
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