Gowen, Matthew Bryan

Gowen, Matthew Bryan is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Gowen, Matthew Bryan can be contacted via phone (903) 593-8441.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 593-8441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP138644 Texas

Profile Details

NPI number 1083196752
LBN Legal business name Gowen, Matthew Bryan
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2018
Last updated Jul 1st, 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 1083196752 NPPES
Texas Other P02230213 MEDICARE RAIL ROAD
Texas MEDICAID 390463302 MEDICARE RAIL ROAD

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