Individual
AMY MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 TEXAS BLVD, 406, TEXARKANA, TX 75501-5107
(903) 794-4196
(903) 792-7408
Mailing address
1002 TEXAS BLVD, 406, TEXARKANA, TX 75501-5107
(903) 794-4196
(903) 792-7408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP130607
TX
Other
Enumeration date
03/22/2016
Last updated
10/07/2022
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