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NPI Code Detail

MEDICARE: MATTHEW J MCCREARY

MEDICARE: MATTHEW J MCCREARY
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
1225100000XPhysical Therapist1219606TX

General Provider Information

NPI Number : 1043561814
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW J MCCREARY
Provider Business Mailing Address
First Line : 910 FM 613
Second Line :
City : TUSCOLA
State : TX
Zip : 79562-2300
Country : US
Telephone Number : 806-570-5017
Fax Number :
Provider Business Practice Location Address
First Line : 1633 COTTONWOOD ST
Second Line :
City : ABILENE
State : TX
Zip : 79601-3033
Country : US
Telephone Number : 325-672-4372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2012
Last Update Date : 02/23/2022

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