Individual
MATTHEW K HUMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1167
(512) 306-1323
(512) 306-1142
Mailing address
801 W 38TH ST, SUITE 400, AUSTIN, TX 78705-1167
(512) 306-1323
(512) 306-1142
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
H3821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130428906
TPI
TX
01
—
140005921
MEDICARE RAIL ROAD
TX
01
—
4241071
AETNA
TX
01
—
89733F
BLUE CROSS BLUE SHIELD
TX
05
—
P000J64J8
—
TX
Enumeration date
12/11/2006
Last updated
02/22/2016
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