Richardson, Matthew Allen

Richardson, Matthew Allen is an individual health care provider with primary practice located at 6371 Preston Rd Ste 100 , Frisco TX 75034-5805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Richardson, Matthew Allen can be contacted via phone (469) 362-6975.

Contact Information

Primary practice address
6371 Preston Rd Ste 100 Frisco TX 75034-5805
Phone: (469) 362-6975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X Q9496 Texas
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X Q9496 Texas

Profile Details

NPI number 1457662702
LBN Legal business name Richardson, Matthew Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated Oct 13th, 2017 - about 9 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 1457662702 NPPES
Mississippi Other T2354 MEDICAL LICENSE
Mississippi MEDICAID 3736621 MEDICAL LICENSE

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