Fox, Matthew Charles

Fox, Matthew Charles is an individual health care provider with primary practice located at 1601 Trinity St Stop 704 , Austin TX 78712-1865. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Fox, Matthew Charles can be contacted via phone (512) 324-7468.

Contact Information

Primary practice address
1601 Trinity St Stop 704 Austin TX 78712-1865
Phone: (512) 324-7468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301091546 Michigan
Allopathic & Osteopathic Physicians / Dermatology 207N00000X P2988 Texas
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 4301091546 Michigan
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X P2988 Texas
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X P2988 Texas

Profile Details

NPI number 1740471929
LBN Legal business name Fox, Matthew Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Nov 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740471929 NPPES
Texas MEDICAID 310279001

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