Individual
MATTHEW FAUBION
Active
Individual
MATTHEW FAUBION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
BP10066890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
693531
TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING ID NUMBER
TX
01
—
BP10066890
TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT
TX
Enumeration date
05/09/2019
Last updated
05/09/2019
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