MEDICARE: LINDSEY MATVEY

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	2255A2300X	Athletic Trainer	#AT5957	TX

General Provider Information

NPI Number	:	1376950899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY MATVEY

Provider Business Mailing Address
First Line	:	9988 WINDMILL LAKES BLVD
Second Line	:	APT# 206
City	:	HOUSTON
State	:	TX
Zip	:	77075-3366
Country	:	US
Telephone Number	:	972-533-3877
Fax Number	:

Provider Business Practice Location Address
First Line	:	9988 WINDMILL LAKES BLVD
Second Line	:	APT# 206
City	:	HOUSTON
State	:	TX
Zip	:	77075-3366
Country	:	US
Telephone Number	:	972-533-3877
Fax Number	:

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

Provider Enumeration Date	:	07/16/2014
Last Update Date	:	07/16/2014

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Directions to “ LINDSEY MATVEY ” Practice Location

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