Individual
MATTHEW K HUMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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