MEDICARE: MATTHEW PAUL LAMBERT 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	207R00000X	Internal Medicine Physician	94-09570	KS
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2085R0202X	Diagnostic Radiology Physician	BP10065927	TX

General Provider Information

NPI Number	:	1962994517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW PAUL LAMBERT MD

Provider Business Mailing Address
First Line	:	6431 FANNIN ST STE MSB 2116
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-500-7640
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 N GRAND BLVD STE 260
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5705
Country	:	US
Telephone Number	:	800-841-4236
Fax Number	:

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

Provider Enumeration Date	:	05/30/2018
Last Update Date	:	10/09/2024

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