Healthcare Provider Details

I. General information

NPI: 1245837814
Provider Name (Legal Business Name): PATIENCE MATTHEWS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 N MOPAC EXPY STE 285
AUSTIN TX
78759-8981
US

IV. Provider business mailing address

2410 HOWARD LN
AUSTIN TX
78728-7619
US

V. Phone/Fax

Practice location:
  • Phone: 512-996-9559
  • Fax:
Mailing address:
  • Phone: 737-300-2962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number646677
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1019742
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: