Individual
MR. MATTHEW JEFFREY DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-1000
Mailing address
8000 E MAPLEWOOD AVE, STE 200, GREENWOOD VILLAGE, CO 80111-4727
(856) 308-7399
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP134789
TX
Other
Enumeration date
07/10/2017
Last updated
05/21/2025
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