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Individual

DR. JOHN PATRICK MATLOCK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
WILLIAM BEAUMONT ARMY MEDICAL CENTER, 5005 NORTH PIEDRAS STREET, EL PASO, TX 79920-5001
(915) 569-1455
(915) 569-1432
Mailing address
WILLIAM BEAUMONT ARMY MED CTR, ATTN: CREDENTIALS OFFICE, 5005 NORTH PIEDRAS STREET, EL PASO, TX 79920-5001
(915) 569-1382

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
L3011
TX
171000000X
Military Health Care Provider
MD00036726
WA

Other

Enumeration date
11/22/2005
Last updated
07/08/2007
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