Individual
MARIA MATUSZCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6200
(713) 500-6201
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M0167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118449103
—
TX
05
—
118449104
—
TX
01
—
84212F
BCBS
TX
01
—
8X6112
BCBS
TX
Enumeration date
06/14/2006
Last updated
03/18/2009
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