Individual
MR. MATTHEW JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA ATC
Contact information
Practice address
22430 GRAND CORNER DR, KATY, TX 77494-5718
(713) 205-7030
Mailing address
7606 EASTWOOD LAKE LN, RICHMOND, TX 77407-2874
(713) 205-7030
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
AT1201
TX
225200000X
Physical Therapy Assistant
Primary
2123567
TX
Other
Enumeration date
01/01/2020
Last updated
01/01/2020
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