MEDICARE: DR. MATTHEW THOMAS MCBRIDE DC

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	111N00000X	Chiropractor	14055	TX

General Provider Information

NPI Number	:	1750947362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW THOMAS MCBRIDE DC

Provider Business Mailing Address
First Line	:	640 PINEHURST DR
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-4205
Country	:	US
Telephone Number	:	469-667-3984
Fax Number	:

Provider Business Practice Location Address
First Line	:	7777 FOREST LN STE B115
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-6873
Country	:	US
Telephone Number	:	972-566-3355
Fax Number	:	972-566-2040

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

Provider Enumeration Date	:	05/20/2019
Last Update Date	:	05/20/2019

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Directions to “ DR. MATTHEW THOMAS MCBRIDE DC” Practice Location

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