Healthcare Provider Details

I. General information

NPI: 1982876058
Provider Name (Legal Business Name): MATTHEW SETH SITTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2008
Last Update Date: 04/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 FANNIN ST STE 540
HOUSTON TX
77030-2608
US

IV. Provider business mailing address

6701 FANNIN ST STE 540
HOUSTON TX
77030-2608
US

V. Phone/Fax

Practice location:
  • Phone: 832-822-3267
  • Fax: 832-825-9070
Mailing address:
  • Phone: 832-822-3267
  • Fax: 832-825-9070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberP9258
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: