Individual
DR. MATTHEW R. HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4426
(214) 345-6789
(214) 345-4322
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0937
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
0101235484
VA
2085R0202X
Diagnostic Radiology Physician
Primary
M5771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M5771
STATE LICENSE
TX
Enumeration date
07/24/2006
Last updated
03/04/2016
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