Doctor Name: | CECIL DAVID MATTHEWS |
NPI Number: | 1124378120 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMD |
License Number: | 28767 |
Business Practice Address: | 1010 West Ave B Oee Kingsville, TX - 78363 |
Business Phone Number: | 3612210660 |
Business Fax Number: | 3612210794 |
Mailing Address: | 14664 Red River Dr, CORPUS CHRISTI |
State: | TX |
Postal Code: | 784105623 |
Phone Number: | 8594572304 |
Fax Number: | 3612210794 |
NPI Enumeration Date: | 09/17/2012 |
NPI Last Update Date: | 09/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 28767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |