Individual
MATTHEW J KILROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-9089
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-9089
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V7931
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10078018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10078018
PHYSICIAN IN TRAINING PERMIT
TX
01
—
V7931
MEDICAL LICENSE
TX
Enumeration date
04/18/2022
Last updated
06/07/2025
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