Individual
DR. MATTHEW J FICENEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
1224 3RD ST, SUITE 8, CORPUS CHRISTI, TX 78404-2354
(361) 985-9403
(361) 881-9566
Mailing address
1224 3RD ST, SUITE 8, CORPUS CHRISTI, TX 78404-2354
(361) 985-9403
(361) 881-9566
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L2886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150113202
—
TX
Enumeration date
09/26/2005
Last updated
09/05/2024
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