Emile Mathurin, Jr., M.D., P.a.,

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J4907 Issued in TX

Legal business name

EMILE MATHURIN, JR., M.D., P.A.,

Practice address

9810 FM-1960 Bypass Rd W
Suite 115
Humble, TX 77338

Phone

(281) 446-4429

NPI assigned

Mar 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Emile Mathurin Jr., M.D.NPI 1588667778

Title

President

Phone

(281) 446-4429

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emile Mathurin Jr., M.D.

  • Physical Medicine & Rehabilitation Physician
  • Humble, TX
  • NPI 1588667778
  Medicare reassignment NPD Authorized official
• Jihong Anita Tian, N.P.

  • Nurse Practitioner
  • Houston, TX
  • NPI 1871935957
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1376677591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5352",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773255352",
            "telephone_number": "281-446-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 FM-1960 BYPASS RD W",
            "address_2": "SUITE 115",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-446-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILE MATHURIN, JR., M.D., P.A.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "MATHURIN",
        "authorized_official_first_name": "EMILE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-446-4429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J4907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "250007825",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182619001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS COMP",
            "identifier": "182746300",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0028QS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Humble, TX
• Providers in Humble, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.