Individual
DR. MARK WALKER MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8017 CRAZY HORSE LN, FORT WORTH, TX 76137-4161
(817) 577-5717
Mailing address
8017 CRAZY HORSE LN, FORT WORTH, TX 76137-4161
(817) 909-3766
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031619
—
TX
Enumeration date
04/12/2007
Last updated
07/27/2022
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