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NPI Code Detail

MEDICARE: MATTHEW KAWASH

MEDICARE: MATTHEW KAWASH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1134786858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW KAWASH
Provider Business Mailing Address
First Line : 4430 LAVON DR STE 340
Second Line :
City : GARLAND
State : TX
Zip : 75040-2974
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4430 LAVON DR STE 340
Second Line :
City : GARLAND
State : TX
Zip : 75040-2974
Country : US
Telephone Number : 972-495-5416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2019
Last Update Date : 05/29/2019

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Directions to “ MATTHEW KAWASH ” Practice Location

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