Individual
DR. MATHEW ROBERT MEENEGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3107 HIGHWAY 71 E, BASTROP, TX 78602-5158
(512) 308-9024
(512) 308-9074
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012-00461
NC
207RH0003X
Hematology & Oncology Physician
Primary
Q3236
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347164101
—
TX
05
—
347164102
—
TX
01
—
P01701271
RAILROAD
TX
Enumeration date
04/07/2009
Last updated
01/20/2022
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