Individual
DR. MATTHEW ROBERT EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
909 N NAVARRO ST, VICTORIA, TX 77901-6734
(361) 576-2111
Mailing address
2700 HOSPITAL DRIVE, SUITE 101, VICTORIA, TX 77901
(361) 576-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
778
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
3097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091925100
—
MN
01
—
139511
UCARE MN
MN
01
—
397D3EB
BCBS MN
MN
05
—
43242500
—
WI
01
—
HP79563
HEALTH PARTNERS
MN
Enumeration date
05/15/2007
Last updated
09/25/2024
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