Demattia, Candice Martin
Demattia, Candice Martin is an individual health care provider with primary practice located at 425 Holderrieth Blvd Ste 114 , Tomball TX 77375-5189. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Demattia, Candice Martin can be contacted via phone (281) 475-7599.Contact Information
Primary practice address
425 Holderrieth Blvd Ste 114
Tomball TX 77375-5189
Phone: (281) 475-7599
Fax: (833) 973-3832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M2305 | Texas |
Profile Details
| NPI number | 1669427670 |
|---|---|
| LBN Legal business name | Demattia, Candice Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Sep 4th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669427670 | NPPES |
| Texas | Other | 8G4046 | MEDICARE ID TYPE |
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