Mathis, Kenneth B
Mathis, Kenneth B is an individual health care provider with primary practice located at 6400 Fannin St Ste 1700 , Houston TX 77030-1526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mathis, Kenneth B can be contacted via phone (713) 486-5555.Contact Information
Primary practice address
6400 Fannin St Ste 1700
Houston TX 77030-1526
Phone: (713) 486-5555
Fax: (713) 486-7533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | H0610 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | H0610 | Texas |
Profile Details
| NPI number | 1912940487 |
|---|---|
| LBN Legal business name | Mathis, Kenneth B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jul 25th, 2022 - about 4 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 | 1912940487 | NPPES |
| Texas | Other | 8S9717 | BCBS |
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