Individual
DR. AARON GREY MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-1983
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-1983
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
132749
AK
207P00000X
Emergency Medicine Physician
15682
HI
207P00000X
Emergency Medicine Physician
2019-0497
NM
207P00000X
Emergency Medicine Physician
60351665
WA
207P00000X
Emergency Medicine Physician
M2140
GU
207P00000X
Emergency Medicine Physician
Primary
Q3044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353513007
—
TX
01
—
353513008
CSHCN
TX
Enumeration date
07/30/2008
Last updated
12/21/2019
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