Individual
DR. MATTHEW ALLEN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6371 PRESTON RD STE 100, FRISCO, TX 75034-5805
(469) 362-6975
Mailing address
6371 PRESTON RD STE 100, FRISCO, TX 75034-5805
(469) 362-6975
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Q9496
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
Q9496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3736621
—
TX
01
—
T2354
MEDICAL LICENSE
MS
Enumeration date
07/01/2010
Last updated
10/13/2017
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