Provider Demographics
NPI:1902672645
Name:GERI ORIMATEO, DAVID MATTHEWS
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MATTHEWS
Last Name:GERI ORIMATEO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 MALIN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-7356
Mailing Address - Country:US
Mailing Address - Phone:832-551-2620
Mailing Address - Fax:
Practice Address - Street 1:8311 MALIN CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-7356
Practice Address - Country:US
Practice Address - Phone:832-551-2620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver