Ivey, Matthew S

Ivey, Matthew S is an individual health care provider with primary practice located at 1517 Thompson Rd , Richmond TX 77469-4932. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ivey, Matthew S can be contacted via phone (281) 344-1715.

Contact Information

Primary practice address
1517 Thompson Rd Richmond TX 77469-4932
Phone: (281) 344-1715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X T09-2005 Texas

Profile Details

NPI number 1316069990
LBN Legal business name Ivey, Matthew S
Credentials DPS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jun 28th, 2012 - about 13 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 1316069990 NPPES
Texas MEDICAID 188879402
Texas MEDICAID 188879404
Texas MEDICAID 188879403
Texas MEDICAID 188879405
Texas MEDICAID 188879401
Texas Other 8G9747
Texas Other P01026742

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