Individual
DR. MATTHEW NEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 JUNIUS ST, SUITE 500, DALLAS, TX 75246-1615
(214) 823-7090
(214) 823-1644
Mailing address
3900 JUNIUS ST, SUITE 500, DALLAS, TX 75246-1615
(214) 823-7090
(214) 823-1644
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
N5280
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
N5280
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
N5280
TX
207XX0801X
Orthopaedic Trauma Physician
N5280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407075617
NPI
—
05
—
295027101
—
TX
05
—
295027102
—
TX
01
—
8AD836
BCBS PAR
TX
01
—
N5280
TEXAS MEDICAL LICENSE
TX
Enumeration date
04/25/2007
Last updated
04/02/2013
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