Individual
GLENDA W MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3305 NORTHLAND DR, SUITE 210, AUSTIN, TX 78731-4961
(512) 454-5716
Mailing address
3305 NORTHLAND DR, SUITE 210, AUSTIN, TX 78731-4961
(512) 454-5716
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
H0929
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21H0929
—
OK
Enumeration date
10/24/2006
Last updated
11/14/2016
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