Individual
MATTHEW S IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1602 PARKWAY BLVD, SUGAR LAND, TX 77478-3425
(713) 979-3343
(855) 592-3269
Mailing address
1602 PARKWAY BLVD, SUGAR LAND, TX 77478-3425
(713) 979-3343
(855) 592-3269
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188879401
—
TX
05
—
188879402
—
TX
05
—
188879403
—
TX
05
—
188879404
—
TX
05
—
188879405
—
TX
01
—
8G9747
BCBS PIN
TX
01
—
P01026742
RAILROAD MEDICARE
TX
Enumeration date
04/04/2007
Last updated
07/25/2024
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