Individual
JOSEPH DONALD MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E ALTON GLOOR BLVD # A, BROWNSVILLE, TX 78526-3328
(956) 350-7000
Mailing address
100 E ALTON GLOOR BLVD # A, BROWNSVILLE, TX 78526-3328
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R2915
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2014
Last updated
03/17/2018
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