Nicola, Matthew W

Nicola, Matthew W is an individual health care provider with primary practice located at 6098 Fm 311 , Spring Branch TX 78070-7253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nicola, Matthew W can be contacted via phone (830) 885-5541.

Contact Information

Primary practice address
6098 Fm 311 Spring Branch TX 78070-7253
Fax: (830) 885-5542
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K5049 Texas

Profile Details

NPI number 1124096581
LBN Legal business name Nicola, Matthew W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1124096581 NPPES
Texas MEDICAID 169864901

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