| Doctor Name: | DR. DAISY ANN MATIAS |
| NPI Number: | 1740481290 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | BP10024983 |
| Business Practice Address: | 915 E Garriott Rd Ste G Enid, OK - 737016156 |
| Business Phone Number: | 5802425100 |
| Business Fax Number: | 5802422700 |
| Mailing Address: | 5300 N Independence Ave, 280 OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731125556 |
| Phone Number: | 5802425100 |
| Fax Number: | 5802422700 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 01/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | BP10024983 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |