Most Relevant Information
Provider Data
| NPI Number: | 1003001074 |
| Provider Name: | DALIA MATTIS ED D |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 17843 |
Most Important Dates
| Enumeration Date: | 09/12/2007 |
| Last Updated: | 09/12/2007 |
Provider Practice Location
5450 NW CENTRAL DR STE 109
HOUSTON
TX
770922024
Practice Location Phone/Fax
| Phone: | 7138950062 |
| Fax: | 7138950062 |
Provider Mailing Location
5450 NW CENTRAL DR STE 109
HOUSTON
TX
770922024
Provider Mailing Phone/Fax
| Phone: | 7138950062 |
| Fax: | 7138950062 |