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GEORGE PHILIP MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1325 PENNSYLVANIA AVE STE 110, FORT WORTH, TX 76104-2146
(877) 683-3702
(469) 484-6415
Mailing address
1325 PENNSYLVANIA AVE STE 110, FORT WORTH, TX 76104-2146
(469) 484-6411
(469) 484-6415

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
K0122
TX
207W00000X
Ophthalmology Physician
Primary
K0122
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
K0122
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116714001
TX
05
116714003
TX
05
116714005
TX
05
116714006
TX
05
116714007
TX
Enumeration date
06/30/2005
Last updated
05/15/2026
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