MEDICARE: DR. HUGH RANDALL MATTHEWS M.D., PH.D., J.D.

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
1	2084P0800X	Psychiatry Physician	F1788	TX
2	2084P0804X	Child & Adolescent Psychiatry Physician	F1788	TX

General Provider Information

NPI Number	:	1144226804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUGH RANDALL MATTHEWS M.D., PH.D., J.D.

Provider Business Mailing Address
First Line	:	PO BOX 541215
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77254-1215
Country	:	US
Telephone Number	:	713-522-6790
Fax Number	:	713-522-6782

Provider Business Practice Location Address
First Line	:	4200 S SHEPHERD DR
Second Line	:	STE 208
City	:	HOUSTON
State	:	TX
Zip	:	77098-5354
Country	:	US
Telephone Number	:	713-522-6790
Fax Number	:	713-522-6782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	06/27/2013

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