Individual
DR. EXCER RICHIEZ MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1701 W BEN WHITE BLVD STE 160, AUSTIN, TX 78704-7679
(512) 441-1240
Mailing address
3233 HARMON AVE UNIT 321, AUSTIN, TX 78705-4680
(939) 235-5435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15647
TX
Other
Enumeration date
02/26/2024
Last updated
12/17/2024
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