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Physician Compare National (NPI:1568453934)

HEALTHCARE PROVIDER: MATTHEW EDWARD MASTERS JR. M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1568453934
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9436107372
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050107000408
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MASTERS
Individual professional last name
Provider First Name MATTHEW
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Individual professional's medical school
Graduation Year 1987
Individual professional's medical school graduation year
Primary Specialty ADDICTION MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 2525 WALLINGWOOD DR
Group Practice or individual's line 1 address
Line 2 Street Address BUILDING 1 SUITE 124
Group Practice or individual's line 2 address
City AUSTIN
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 787466900
Group Practice or individual's zip code (9 digits when available)
Phone Number 5123290435
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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