Individual
DR. ROBERT C MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 LONDONDERRY DR, WACO, TX 76712-7929
(254) 537-6464
(254) 537-6466
Mailing address
PO BOX 18962, BELFAST, ME 04915-4084
(800) 566-5050
(254) 537-6869
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K3613
TX
207Q00000X
Family Medicine Physician
K3613
TX
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
K3613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124288506
—
TX
Enumeration date
05/31/2006
Last updated
01/30/2017
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