Provider Demographics
NPI:1720584436
Name:TAITANO, MATTHEW MINORU (DO)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:MINORU
Last Name:TAITANO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:8205 BRAESMAIN DR UNIT 20531
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2803
Mailing Address - Country:US
Mailing Address - Phone:346-492-6805
Mailing Address - Fax:630-376-7665
Practice Address - Street 1:2201 W HOLCOMBE BLVD STE 320
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2042
Practice Address - Country:US
Practice Address - Phone:346-492-6805
Practice Address - Fax:630-376-7665
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2025-01-31
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Provider Licenses
StateLicense IDTaxonomies
TXU9370207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease