St. Laurent, Matthew J

St. Laurent, Matthew J is an individual health care provider with primary practice located at 18220 Tomball Pkwy Ste 300, Houston TX 77070-4347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. St. Laurent, Matthew J can be contacted via phone (281) 921-1890.

Contact Information

Primary practice address
18220 Tomball Pkwy Ste 300 Houston TX 77070-4347
Phone: (281) 921-1890
Fax: (281) 921-1897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J4536 Texas

Profile Details

NPI number 1700858909
LBN Legal business name St. Laurent, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 18th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700858909 NPPES
Texas Other 202105379 TAX ID
Texas Other 8S2410 TAX ID
Texas MEDICAID 1665713-01 TAX ID

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