Individual
DR. GINA LOUISE MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7308 FLEMING AVE, AMARILLO, TX 79106-1829
(412) 605-4866
Mailing address
281 HIGHPARK DR, ANACONDA, MT 59711-6130
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
BP10040557
TX
2084P0800X
Psychiatry Physician
Primary
P5289
TX
Other
Enumeration date
05/14/2011
Last updated
06/14/2023
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