MEDICARE: MATTHEW FRANK FELDMAN MD

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	207K00000X	Allergy & Immunology Physician	P1300	TX

General Provider Information

NPI Number	:	1104056027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW FRANK FELDMAN MD

Provider Business Mailing Address
First Line	:	7557 RAMBLER RD STE 400
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-2303
Country	:	US
Telephone Number	:	214-347-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	7557 RAMBLER RD STE 400
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-2303
Country	:	US
Telephone Number	:	214-347-7337
Fax Number	:

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

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	04/30/2024

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