Individual
DR. MATTHEW MICAH MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1314 E SONTERRA BLVD STE 2201, SAN ANTONIO, TX 78258-4287
(210) 496-5792
(210) 496-7601
Mailing address
1314 E SONTERRA BLVD STE 2201, SAN ANTONIO, TX 78258-4287
(210) 496-5792
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
13011731-1205
UT
207N00000X
Dermatology Physician
67944
AZ
207N00000X
Dermatology Physician
A116923
CA
207N00000X
Dermatology Physician
M-8852
ID
207N00000X
Dermatology Physician
Primary
U0395
TX
Other
Enumeration date
10/03/2005
Last updated
06/05/2024
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