Individual
MATTHEW PERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 690, FORT WORTH, TX 76104-2133
(817) 761-7740
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
22468
NV
208600000X
Surgery Physician
U9332
TX
2086S0102X
Surgical Critical Care Physician
346531
LA
2086S0102X
Surgical Critical Care Physician
U9332
TX
2086S0127X
Trauma Surgery Physician
Primary
346531
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2017
Last updated
01/12/2026
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