Individual
FREDERICK L MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5072 W PLANO PKWY, STE 220, PLANO, TX 75093-4475
(469) 671-0900
Mailing address
4701 OLD SHEPARD PL STE 260, PLANO, TX 75093-5250
(314) 741-3546
(314) 741-3548
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016.005325
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
2005012314
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2186
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
N006070-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02646977
—
NY
01
—
PJ8251
MEDICARE PROVIDER
—
Enumeration date
06/24/2005
Last updated
03/07/2023
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