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Individual

MR. MATTHEW JAMES O'HARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 295-4003
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 295-4003

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60857536
WA
171000000X
Military Health Care Provider
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/26/2026
Last updated
06/08/2026
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