| Jason Demattia Md Or Candice Demattia Md | |
|
17376 Northwest Fwy Houston TX 77040-1114 | |
| (713) 466-0197 | |
| (866) 328-6260 |
| Full Name | Jason Demattia Md Or Candice Demattia Md |
|---|---|
| Speciality | Family Medicine |
| Location | 17376 Northwest Fwy, Houston, Texas |
| Authorized Official Name and Position | Jason Kelly Demattia (OWNER) |
| Authorized Official Contact | 7134660197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Demattia Md Or Candice Demattia Md 17376 Northwest Fwy Houston TX 77040-1114 Ph: (713) 466-0197 | Jason Demattia Md Or Candice Demattia Md 17376 Northwest Fwy Houston TX 77040-1114 Ph: (713) 466-0197 |
| NPI Number | 1851569339 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 05/18/2011 |
| Medicare PECOS PAC ID | 3678643129 |
|---|---|
| Medicare Enrollment ID | O20080610000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851569339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M2306 (Texas) | Primary |
| Provider Name | Jason K Demattia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528013125 PECOS PAC ID: 6204842479 Enrollment ID: I20060224000379 |
| Provider Name | Candice Martin Demattia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669427670 PECOS PAC ID: 1456367549 Enrollment ID: I20060227000607 |
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