Organization
JACQUIN P MATTHEWS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUIN P MATTHEWS MD (OWNER)
(817) 870-1551
Entity
Organization
Contact information
Practice address
851 W TERRELL AVE, FORT WORTH, TX 76104-3161
(817) 870-1551
(817) 870-1818
Mailing address
851 W TERRELL AVE, FORT WORTH, TX 76104-3161
(817) 870-1551
(817) 870-1818
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J4909
TX
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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