MATTIOLI VISION PROFESSIONALS, PA
Medical Practice at Southwest Fwy, Houston, TX

License number
Texas L0405
Category
Medical Practice
Type
Ophthalmology
Owner
Name: FRED MATTIOLI
Title: PRESIDENT
Phone: (713) 776-3937
Address
Address
2200 Southwest Fwy SOUTHWEST STE 500, Houston, TX 77098
National Provider ID: 1164775946
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Mattioli Vision Professionals, PA

Houston, TX

Status:
Inactive
Doing business as:
Fred Mattioli MD PA<br>Mattioli Vision Professionals PA
Registration:
Sep 17, 2008
Addresses:
2200 SW Fwy #500, Houston, TX 77098
3413 Canal St, Houston, TX 77003
State ID:
0801029736
Business type:
Professional Association
President, Director, Member, Secretary:
Federico Mattioli President, Director, Member, Secretary, inactive
Agent:
Federico L Mattioli,2200 SW Fwy #500, Houston, TX 77098 (Physical)
TIN:
32037960971

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