Individual
LINDA FONSECA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 678-4812
(303) 678-4812
Mailing address
801 W 34TH ST STE 100, AUSTIN, TX 78705-1157
(512) 459-1131
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
L7379
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
DR.0062096
CO
207VM0101X
Maternal & Fetal Medicine Physician
L7379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166111801
—
TX
01
—
8H3603
BCBS
TX
Enumeration date
07/11/2006
Last updated
07/01/2021
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