Individual
DR. MATTHEW KENICHI PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16050 EVERWELL LN STE 310, FRISCO, TX 75033-4602
(469) 800-7200
(469) 800-7210
Mailing address
16050 EVERWELL LN STE 310, FRISCO, TX 75033-4602
(469) 800-7200
(469) 800-7210
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A94289
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
V2808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710943816
—
CA
Enumeration date
04/26/2006
Last updated
11/03/2025
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