Individual
MATTHEW JAY SIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8300 FLOYD CURL DR FL 4, SAN ANTONIO, TX 78229-3931
(210) 450-9888
(210) 450-6041
Mailing address
8300 FLOYD CURL DR FL 4, SAN ANTONIO, TX 78229-3931
(210) 450-9888
(210) 450-6041
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N4100
TX
2086S0129X
Vascular Surgery Physician
Primary
N4100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100845890B
—
OK
05
—
201386401
—
TX
01
—
201386402
CSHCN
TX
01
—
8BX924
BCBS
TX
Enumeration date
01/26/2006
Last updated
12/02/2021
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