Individual
BRAD ALAN MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1713 S FM 51 STE 103, DECATUR, TX 76234-3644
(940) 627-6976
(940) 627-3491
Mailing address
1713 S FM 51 STE 103, DECATUR, TX 76234-3644
(940) 627-6976
(940) 627-3491
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
1151923
TX
2251S0007X
Sports Physical Therapist
1151923
TX
2251X0800X
Orthopedic Physical Therapist
Primary
1151923
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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