MEDICARE: DR. MATTHEW HOWARD STEELE 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	208200000X	Plastic Surgery Physician	P0141	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629010772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW HOWARD STEELE MD

Provider Business Mailing Address
First Line	:	6816 CLEAR SPRING DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-3751
Country	:	US
Telephone Number	:	682-730-2891
Fax Number	:

Provider Business Practice Location Address
First Line	:	5656 EDWARDS RANCH ROAD
Second Line	:	SUITE 202
City	:	FORT WORTH
State	:	TX
Zip	:	76109
Country	:	US
Telephone Number	:	682-730-2891
Fax Number	:

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	06/16/2018

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