Matoba, Alice Y.
Matoba, Alice Y. is an individual health care provider with primary practice located at 6550 Fannin St Suite 1501, Houston TX 77030-2717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Matoba, Alice Y. can be contacted via phone (713) 798-6100.Contact Information
Primary practice address
6550 Fannin St Suite 1501
Houston TX 77030-2717
Phone: (713) 798-6100
Fax: (713) 798-4231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G4486 | Texas |
Profile Details
| NPI number | 1871582239 |
|---|---|
| LBN Legal business name | Matoba, Alice Y. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Nov 20th, 2020 - about 6 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 | 1871582239 | NPPES |
| Texas | Other | 82W281 | BC/BS |
| Texas | Other | 2224669 | BC/BS |
| Texas | MEDICAID | 136037202 | BC/BS |
| Texas | MEDICAID | 136037203 | BC/BS |
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