Individual
EDDIE TATSUO MATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 BROOKS ST, SUGAR LAND, TX 77478-3835
(281) 690-4678
Mailing address
1201 BROOKS ST, SUGAR LAND, TX 77478-3835
(281) 690-4678
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E3060
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
E3060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134233908
—
TX
05
—
134233909
—
TX
05
—
134233910
—
TX
05
—
134233911
—
TX
01
—
610119705
US DEPT OF LABOR
TX
01
—
8BP176
BLUE CROSS BLUE SHIELD
TX
01
—
P00777068
MEDICARE RAILROAD
TX
01
—
P01142161
RR MEDICARE
TX
Enumeration date
10/12/2005
Last updated
04/03/2013
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