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General NPI Number Information
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NPI Number | 1861466708
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Entity Type | Individual
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Provider Name | SAMER G MATTAR MD
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Gender | Male
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1977 BUTLER BLVD STE E6.100
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City | HOUSTON
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State | TX
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Zip | 77030-4101
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Country | US
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Telephone | 171-379-8590
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BAYLOR PLZ
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City | HOUSTON
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State | TX
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Zip | 77030-3498
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Country | US
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Telephone | 713-798-6673
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01060735A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | S9030
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD165024
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | S9030
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License Number State | TX
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