Individual
DR. MATTHEW A COMAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0312
(817) 317-7033
Mailing address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
L4892
TX
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
L4892
TX
2085N0700X
Neuroradiology Physician
L4892
TX
2085P0229X
Pediatric Radiology Physician
L4892
TX
2085R0202X
Diagnostic Radiology Physician
Primary
L4892
TX
2085U0001X
Diagnostic Ultrasound Physician
L4892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649265612
NPI
—
01
—
L4892
TEXAS PHYSICIANS PERMIT
TX
Enumeration date
09/15/2005
Last updated
12/04/2019
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