MEDICARE: MAT-METALLOID INC

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	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1831979582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAT-METALLOID INC

Provider Business Mailing Address
First Line	:	20227 WEEPING PINE WAY
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2033
Country	:	US
Telephone Number	:	713-269-2967
Fax Number	:

Provider Business Practice Location Address
First Line	:	20227 WEEPING PINE WAY
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2033
Country	:	US
Telephone Number	:	713-269-2967
Fax Number	:

Authorized Official
Title or Position	:	M.D
Name	:	MR. CHIBUEZE ANOSIKE
Credential	:
Telephone Number	:	713-269-2967

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	11/11/2023

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Directions to “MAT-METALLOID INC ” Practice Location

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