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Individual

MATTHEW STEVEN RICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, RN, AGCNS-BC

Contact information

Practice address
2323 W FRONT ST, TYLER, TX 75702-7747
(903) 597-1351
(903) 597-1351
Mailing address
4010 CLOVERDALE DR, TYLER, TX 75701-9314
(480) 242-7129

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
880140
TX
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
AP134553
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381371901
TX
Enumeration date
07/19/2017
Last updated
10/01/2025
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