Individual
MATTHEW GILLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 AMBASSADOR DR, WACO, TX 76712-9702
(254) 756-4457
(254) 756-1718
Mailing address
2400 AMBASSADOR DR, WACO, TX 76712-9702
(254) 756-4457
(254) 756-1718
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
BP10074518
TX
207W00000X
Ophthalmology Physician
Primary
U8723
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
04/12/2024
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