Individual
MR. MATTHEW PHARIS
Active
Individual
MR. MATTHEW PHARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA04125
TX
363AS0400X
Surgical Physician Assistant
Primary
PA04125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185889601
—
TX
01
—
8N7134
BCBS OF TEXAS
TX
Enumeration date
07/28/2006
Last updated
10/29/2008
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