Individual
JAMES R MATSON
Active
Individual
JAMES R MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
H4997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100259660A
—
OK
05
—
130243207
—
TX
01
—
8836M2
BCBS
—
Enumeration date
06/20/2005
Last updated
08/21/2009
Update your record
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