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NPI Code Detail

MEDICARE: MATTHEW CHRISTOPHER COMLEY M.D.

MEDICARE:   MATTHEW CHRISTOPHER COMLEY  M.D.
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
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianS6376TX
2207X00000XOrthopaedic Surgery PhysicianBP10053397TX

General Provider Information

NPI Number : 1659754059
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW CHRISTOPHER COMLEY M.D.
Provider Business Mailing Address
First Line : 501 AIR PARK AVE
Second Line :
City : GREENVILLE
State : TX
Zip : 75402-3000
Country : US
Telephone Number : 903-408-5834
Fax Number : 903-408-5693
Provider Business Practice Location Address
First Line : 5101 WELLINGTON ST UNIT A
Second Line :
City : GREENVILLE
State : TX
Zip : 75402-6040
Country : US
Telephone Number : 903-408-7768
Fax Number : 903-408-7769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2015
Last Update Date : 07/31/2025

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Directions to “ MATTHEW CHRISTOPHER COMLEY M.D.” Practice Location

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