MEDICARE: DILLON KOSHY MATHEW PA C

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	207Q00000X	Family Medicine Physician	PA03223	TX

General Provider Information

NPI Number	:	1215910468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DILLON KOSHY MATHEW PA C

Provider Business Mailing Address
First Line	:	PO BOX 210907
Second Line	:	KANER MEDICAL GROUP
City	:	BEDFORD
State	:	TX
Zip	:	76095-7907
Country	:	US
Telephone Number	:	817-358-5800
Fax Number	:	817-283-7686

Provider Business Practice Location Address
First Line	:	412 N MAIN ST
Second Line	:	STE 100
City	:	EULESS
State	:	TX
Zip	:	76039-3652
Country	:	US
Telephone Number	:	817-358-5800
Fax Number	:	817-283-7686

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	02/14/2012

Similar Medicare Providers

1588654511 — DAVID K LIVINGSTONE MD
Practice Location Address:

412 N MAIN ST , SUITE 100
EULESS, TX
76039-3652

Practice Phone: 817-358-5800
Practice Fax: 817-546-8672

1417117516 — DR. ROLAND S.E. TAYLOR DDS
Practice Location Address:

412 N MAIN ST , SUITE 110
EULESS, TX
76039-3652

Practice Phone: 817-354-4100
Practice Fax: 817-354-4164

1790158384 — MILESTONE TREATMENT CENTERS, LLC
Practice Location Address:

412 N MAIN ST , 209
EULESS, TX
76039-3652

Practice Phone: 817-919-6674
Practice Fax:

1245789221 — RONALD STEIN LPC
Practice Location Address:

412 N MAIN ST , SUITE 209
EULESS, TX
76039-3652

Practice Phone: 817-230-4100
Practice Fax:

1467302141 — MICAELA WENTH
Practice Location Address:

103 COUNTRY LN
EULESS, TX
76039-8019

Practice Phone: 701-212-5910
Practice Fax:

1053389312 — LANDON TOLBERT MONTGOMERY PT
Practice Location Address:

3001 HIGHWAY 121 , UNIT 292
EULESS, TX
76039

Practice Phone: 817-684-0397
Practice Fax: 817-684-0397

Directions to “ DILLON KOSHY MATHEW PA C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.