MEDICARE: MATTHEW E KOEPPLINGER DO

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	207P00000X	Emergency Medicine Physician	34.008422	OH
2	207X00000X	Orthopaedic Surgery Physician	N1370	TX
3	207XS0106X	Orthopaedic Hand Surgery Physician	N1370	TX

General Provider Information

NPI Number	:	1972579324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW E KOEPPLINGER DO

Provider Business Mailing Address
First Line	:	6400 FANNIN ST STE 1700
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1521
Country	:	US
Telephone Number	:	713-486-1890
Fax Number	:	713-512-7240

Provider Business Practice Location Address
First Line	:	6400 FANNIN ST STE 1700
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1521
Country	:	US
Telephone Number	:	713-486-1890
Fax Number	:	713-512-7240

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	06/26/2012

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Directions to “ MATTHEW E KOEPPLINGER DO” Practice Location

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