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Raphael Josy Mattamal, MD
Pediatrics Physician in Amarillo, Texas
NPI 1679993034

Raphael Josy Mattamal is a Pediatrics Physician based in Amarillo, TX. Raphael Josy Mattamal practices in Amarillo, TX and has the professional credentials of MD. The NPI Number for Raphael Josy Mattamal is 1679993034 and holds a License No. 45997 (Texas).

The current practice location address for Raphael Josy Mattamal is 1400 S Coulter St, Amarillo, TX and can be reached out via phone at 806-414-9800 and via fax at 806-354-5689.

Location: 1400 S Coulter St, Amarillo, TX, 79106-1708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679993034
Provider Name
Raphael Josy Mattamal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 S Coulter St, Amarillo, TX, 79106-1708
Phone Number
806-414-9800
Fax Number
806-354-5689
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
374825301 05 TX
374825302 05 TX
73172511 05 NM
200725100A 05 OK
institution
Provider Business Practice Location Address Details
Address
1400 S Coulter St
City
Amarillo
State
Texas
Zip
79106-1786
Phone Number
806-414-9800
Fax Number
806-354-5689
person
Provider Business Mailing Address Details
Address
1400 S Coulter St
City
Amarillo
State
Texas
Zip
79106-1786
Phone Number
806-414-9800
Fax Number
806-354-5689
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
582589 (Texas)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
45997 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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