Individual
DR. GERALD OTHIEL MATTHEWS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36000 DARNALL LOOP, CARL R DARNALL ARMY MEDICAL CENTER, FORT HOOD, TX 76544-5095
(502) 545-6542
Mailing address
36000 DARNALL LOOP, CARL R DARNALL ARMY MEDICAL CENTER, FORT HOOD, TX 76544-5095
(502) 545-6542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD - 17750
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
HI
Enumeration date
01/25/2013
Last updated
08/30/2016
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