Doctor Name: | DR. SARAH ELIZABETH MATT |
NPI Number: | 1801055587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD038710 |
Business Practice Address: | 6448 E Hwy 290 Suite # D-103 Austin, TX - 787231068 |
Business Phone Number: | 5124522100 |
Business Fax Number: | 5124522106 |
Mailing Address: | 6448 E Hwy 290, Suite # D-103 AUSTIN |
State: | TX |
Postal Code: | 787231068 |
Phone Number: | 5124522100 |
Fax Number: | 5124522106 |
NPI Enumeration Date: | 06/06/2008 |
NPI Last Update Date: | 09/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD038710 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |