Individual
DR. MATTHEW WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W RANDOL MILL RD, ARLINGTON, TX 76012-2504
(817) 548-6202
Mailing address
8460 SANTA CLARA DR, DALLAS, TX 75218-4344
(469) 556-5179
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K5425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096338103
—
TX
05
—
096338104
—
TX
01
—
8BT330
BCBS THRU SAEMA
TX
01
—
8Z0621
BCBS THRU AEMA
TX
01
—
930096969
RAILROAD THRU AEMA
TX
01
—
P00687128
RAILROAD THRU SAEMA
TX
Enumeration date
03/16/2006
Last updated
01/18/2022
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