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MATTHEW PARKER BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2460 N IH 35 E, SUITE 270, PROFESSIONAL PLAZA, WAXAHACHIE, TX 75165-5266
(469) 800-9800
(469) 800-9810
Mailing address
2460 N IH 35 E, SUITE 270, PROFESSIONAL PLAZA, WAXAHACHIE, TX 75165-5266
(469) 800-9800
(469) 800-9810

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MO620
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175606602
TX
01
8W4542
BLUE CROSS
TX
Enumeration date
02/13/2006
Last updated
03/29/2022
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