Individual
ANTHONY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12011 DERMOTT DR, HOUSTON, TX 77065-2806
(832) 253-3698
Mailing address
12011 DERMOTT DR, HOUSTON, TX 77065-2806
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/17/2022
Last updated
02/17/2022
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