EDUARDO J MATTA (NPI# 1235248964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235248964 |
| Entity Type | Individual |
| Full Name | EDUARDO J MATTA |
| Credential | MD |
| Practice Address |
6411 Fannin St Houston TX 77030-1501 |
| Mailing Address |
Po Box 301173 Dallas TX 75303-1173 |
| Practice Telephone | 7137044000 |
| Practice Fax Number | 7137045734 |
| Mailing Telephone | 7135003500 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
M7409 | TX | Allopathic & Osteopathic Physicians |
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
MD00046190 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8W2049 | 01 |
| TX | CSHCN | 187016403 | 01 |
| TX | 187016401 | 05 |
| Street Address |
6411 FANNIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512513 | Steven B. Eisenberg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6411 Fannin St, Houston, TX 77030-1501 | 2005-07-18 |
| 1447867411 | Jordan Lee Garcia | Physician Assistant | 6411 Fannin St, Houston, TX 77030-1501 | 2020-09-24 |
| 1639780042 | Sven Asmussen | Anesthesiology | 6411 Fannin St, Houston, TX 77030-1501 | 2020-08-11 |
| 1326657289 | Beatrice E Akpanumoh | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2020-07-27 |
| 1992313217 | Tyree Pasini | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2020-07-22 |
| 1942818265 | Kandyce Lynn Jones | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2020-07-22 |
| 1326661620 | Kelbie Jo Kerr | Anesthesiology | 6411 Fannin St, Houston, TX 77030-1501 | 2020-05-20 |
| 1902426323 | Jennifer Benson Scales | Nurse Practitioner | 6411 Fannin St, Houston, TX 77030-1501 | 2020-04-26 |
| 1457980880 | Rocky Rodriguez | Nurse Practitioner | 6411 Fannin St, Houston, TX 77030-1501 | 2020-04-07 |
| 1629607106 | Emily Harlos | Student in an Organized Health Care Education/Training Program | 6411 Fannin St, Houston, TX 77030-1501 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043583008 | 1st South Texas Pain Management | Radiology | 1431 Wirt Rd., 113, Houston, TX 77055 | 2012-02-21 |
| 1598772915 | The Quang Truong | Radiology | 3306 Oak Links Ave, Houston, TX 77059-3745 | 2006-08-01 |
| 1194743930 | Saween K. S. Thompson | Radiology | 3320 Rice Blvd, Houston, TX 77005-2934 | 2006-07-18 |
| 1770524811 | Erica Cotton | Radiology | 1849 Harold St, Houston, TX 77098 | 2006-06-09 |
| 1275574220 | Babak Rejaie | Radiology | 668 Bunker Hill Rd, Houston, TX 77024-5119 | 2006-06-09 |
| 1801851951 | Farzaneh Kazimi | Radiology | 7304 Staffordshire St, #2, Houston, TX 77030-5177 | 2006-04-20 |
| 1912989120 | Memorial Mri and Diagnostic LLC | Radiology | 1346 Campbell Rd, Houston, TX 77055-6404 | 2005-11-15 |
| 1255622080 | Tharakeswara Kumar Bathala | Radiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2011-04-27 |
| 1316237167 | Westpark Imaging Center Inc. | Radiology | 6250 Westpark Dr, #226, Houston, TX 77057-7322 | 2011-04-13 |
| 1467696633 | Bryan Thomas Prange | Radiology | 7026 Old Katy Rd Ste 276, Houston, TX 77024-2187 | 2009-05-01 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.