MEDICARE: MR. MATTHEW MCWHORTER

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	171W00000X	Contractor		TX

General Provider Information

NPI Number	:	1770449902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATTHEW MCWHORTER

Provider Business Mailing Address
First Line	:	6098 PIN OAK CT
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-7827
Country	:	US
Telephone Number	:	214-642-7772
Fax Number	:

Provider Business Practice Location Address
First Line	:	6098 PIN OAK CT
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-7827
Country	:	US
Telephone Number	:	214-642-7772
Fax Number	:	469-533-0318

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

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	01/22/2026

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