Individual
ELDRID ABRAHAM BAEZ MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3571 W WHEATLAND RD STE 101, DALLAS, TX 75237-3461
(972) 274-5555
(972) 274-5663
Mailing address
8200 MATLOCK RD, STE 160, ARLINGTON, TX 76002-4806
(972) 274-5555
(972) 274-5663
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
BP10062656
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2015
Last updated
07/06/2020
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