Healthcare Provider Details

I. General information

NPI: 1043473176
Provider Name (Legal Business Name): NATALI MATTERN MUEHE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 09/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 CALIFORNIA ST
HOUSTON TX
77006
US

IV. Provider business mailing address

PO BOX 66308
HOUSTON TX
77266-6308
US

V. Phone/Fax

Practice location:
  • Phone: 832-548-5000
  • Fax: 713-523-4897
Mailing address:
  • Phone: 832-548-5076
  • Fax: 713-523-4897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberN9102
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: