Individual
MATTHEW HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11503 NW MILITARY HWY STE 202, SAN ANTONIO, TX 78231-1895
(210) 233-6363
Mailing address
11503 NW MILITARY HWY STE 202, SAN ANTONIO, TX 78231-1895
(210) 233-6363
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
U7432
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
08/30/2024
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