MEDICARE: MATTHEW RISHER DESHOTELS

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	207RC0000X	Cardiovascular Disease Physician	T2590	TX

General Provider Information

NPI Number	:	1255838736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW RISHER DESHOTELS

Provider Business Mailing Address
First Line	:	7200 CAMBRIDGE ST
Second Line	:	6TH FLOOR, SUITE 6 A
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-798-2545
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 CAMBRIDGE ST FL 6
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4202
Country	:	US
Telephone Number	:	713-798-2545
Fax Number	:

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

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	01/14/2026

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