Individual
KELLY MATTHEW-GIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1406 N TEXANA ST, HALLETTSVILLE, TX 77964-2021
(361) 798-3671
(361) 798-3121
Mailing address
1406 N TEXANA ST, HALLETTSVILLE, TX 77964-2021
(361) 798-3671
(361) 798-3121
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TXDP1325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165310701
—
TX
01
—
8U5360
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/06/2006
Last updated
07/08/2007
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