Individual
MATTHEW E RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544-5060
(254) 288-8491
Mailing address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32867
NE
208D00000X
General Practice Physician
32867
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2019
Last updated
08/05/2024
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