Rich, Matthew Steven

Rich, Matthew Steven is an sole proprietor health care provider with primary practice located at 2323 W Front St , Tyler TX 75702-7747. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Rich, Matthew Steven can be contacted via phone (903) 597-1351.

Contact Information

Primary practice address
2323 W Front St Tyler TX 75702-7747
Phone: (903) 597-1351
Fax: (903) 597-1351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X AP134553 Texas
Nursing Service Providers / Registered Nurse 163W00000X 880140 Texas

Profile Details

NPI number 1639692965
LBN Legal business name Rich, Matthew Steven
Credentials MSN, RN, AGCNS-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2017
Last updated Oct 1st, 2025 - about last year

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 1639692965 NPPES
Texas MEDICAID 381371901

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