Individual
DR. MATTHEW WAYNE NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E 6TH ST, TEXARKANA, AR 71854-5207
(870) 779-6000
(870) 779-6119
Mailing address
300 E 6TH ST, TEXARKANA, AR 71854-5207
(870) 779-6000
(870) 779-6119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4194
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155991001
—
AR
Enumeration date
04/25/2006
Last updated
06/03/2010
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