Individual
DR. MATTHEW BABICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12610 E NORTHWEST HWY, DALLAS, TX 75228
(469) 441-4484
Mailing address
1151 N BUCKNER BLVD, STE 201, DALLAS, TX 75218-3400
(214) 660-0777
(877) 631-1566
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1754
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176120701
—
TX
01
—
P00697605
RAIL ROAD MEDICARE INDIVIDUAL PROVIDER #
TX
Enumeration date
12/27/2006
Last updated
04/09/2021
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