P Praxis·MD
● Active Type 1 · Individual

Raphael Josy Mattamal, M.D.

Pediatrics·Amarillo, TX· NPI 1679993034 · Enumerated 2014 · 12 years on NPI
Mattamal is 1 of 39 pediatrics providers in Amarillo and 1 of 7055 in Texas.
NPI age
12 years
Enumerated 2014-04-23
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-02-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7055 active pediatrics providers in Texas.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
1400 S Coulter St
Amarillo, TX 791061786
📞 8064149800fax 8063545689
Mailing address
1400 Wallace Blvd
Amarillo, TX 791061708
📞 8064149800fax 8063545689

Specialties

  • Pediatrics Primary
    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...
    TX license #R4092TX license #45997 taxonomy 208000000X
  • Student in an Organized Health Care Education/Training Program
    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.
    TX license #582589 taxonomy 390200000X

Identifiers

TypeValueNotes
05 (TX) 374825301
05 (TX) 374825302
05 (NM) 73172511
05 (OK) 200725100A

Practice context

Part of a multi-provider practice. 191 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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