MEDICARE: DR. DALIA MATTIS ED D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	17843	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003001074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALIA MATTIS ED D

Provider Business Mailing Address
First Line	:	5450 NW CENTRAL DR STE 109
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-2024
Country	:	US
Telephone Number	:	713-895-0062
Fax Number	:	713-895-0062

Provider Business Practice Location Address
First Line	:	5450 NW CENTRAL DR STE 109
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-2024
Country	:	US
Telephone Number	:	713-895-0062
Fax Number	:	713-895-0062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	09/12/2007

Similar Medicare Providers

1518152586 — TANYA MATTIS
Practice Location Address:

5450 NW CENTRAL DR STE 109
HOUSTON, TX
77092-2024

Practice Phone: 713-895-0062
Practice Fax: 713-895-0062

1962361493 — XIOMARA SUSTAITA
Practice Location Address:

7457 HARWIN DR STE 132
HOUSTON, TX
77036-2024

Practice Phone: 713-274-6077
Practice Fax:

1578814547 — MEDISTAR PROVIDER SERVICES, INC.
Practice Location Address:

260 N SAM HOUSTON PKWY E STE 100
HOUSTON, TX
77060-2024

Practice Phone: 713-489-7766
Practice Fax: 713-489-3949

1609885169 — ALLAN KEETON
Practice Location Address:

7324 SW FREEWAY , SUITE 465
HOUSTON, TX
77074-2024

Practice Phone: 713-771-0081
Practice Fax: 713-771-1458

1174623185 — A.M.S. AMBULANCE SERVICE
Practice Location Address:

7457 HARWIN DR STE 297
HOUSTON, TX
77036-2024

Practice Phone: 713-278-9955
Practice Fax: 713-975-1198

1619010485 — BESSIE GOUDEAU DBA ASAP PROFESSIONAL HOME HEALTH
Practice Location Address:

11821 I-10 EAST FWY , SUITE 340
HOUSTON, TX
77029-2024

Practice Phone: 713-455-5979
Practice Fax: 713-450-1845

Directions to “ DR. DALIA MATTIS ED D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.