Healthcare Provider Details

I. General information

NPI: 1659754059
Provider Name (Legal Business Name): MATTHEW CHRISTOPHER COMLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2015
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 WELLINGTON ST UNIT A
GREENVILLE TX
75402-6040
US

IV. Provider business mailing address

501 AIR PARK AVE
GREENVILLE TX
75402-3000
US

V. Phone/Fax

Practice location:
  • Phone: 903-408-7768
  • Fax: 903-408-7769
Mailing address:
  • Phone: 903-408-5834
  • Fax: 903-408-5693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberS6376
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberBP10053397
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: