Individual
MR. DORIAN R MATZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4510 BELL ST, AMARILLO, TX 79109-5714
(806) 212-4835
(806) 212-0900
Mailing address
PO BOX 840026, DALLAS, TX 75284-0026
(806) 212-6965
(806) 212-6278
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04927
KY
207Q00000X
Family Medicine Physician
Q9436
TX
207R00000X
Internal Medicine Physician
04927
KY
208M00000X
Hospitalist Physician
04927
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360140301
—
TX
Enumeration date
06/27/2013
Last updated
10/05/2023
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