Land, Matthew V

Land, Matthew V is an individual health care provider with primary practice located at 910 E Houston St Ste 330, Tyler TX 75702-8369. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Land, Matthew V can be contacted via phone (903) 525-7995.

Contact Information

Primary practice address
910 E Houston St Ste 330 Tyler TX 75702-8369
Phone: (903) 525-7995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04590 Texas

Profile Details

NPI number 1205889086
LBN Legal business name Land, Matthew V
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 29th, 2016 - about 10 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 1205889086 NPPES
Texas Other P01583815 RAIL ROAD MEDICARE
Texas Other P00430280 RAIL ROAD MEDICARE
Texas MEDICAID 187968603 RAIL ROAD MEDICARE
Texas Other 8EY674 RAIL ROAD MEDICARE
Texas MEDICAID 187968602 RAIL ROAD MEDICARE
Texas Other 75-2616977-091 RAIL ROAD MEDICARE

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