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NPI Code Detail

MEDICARE: MR. XAVIER L MATTHEWS

MEDICARE: MR. XAVIER L MATTHEWS
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
1106S00000XBehavior TechnicianRBT-20-115607TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-20-115607OTHERTXABA

General Provider Information

NPI Number : 1649847153
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. XAVIER L MATTHEWS
Provider Business Mailing Address
First Line : 2825 VALLEY VIEW LN STE 100
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75234-4943
Country : US
Telephone Number : 214-736-8376
Fax Number :
Provider Business Practice Location Address
First Line : 2825 VALLEY VIEW LN STE 100
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75234-4943
Country : US
Telephone Number : 214-736-8376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2021
Last Update Date : 06/04/2021

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Directions to “ MR. XAVIER L MATTHEWS ” Practice Location

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