Mark Walker Matthews in Fort Worth - Clinical
Mark Walker Matthews - NPI 1609090471
Mark Walker Matthews is a Clinical in Fort Worth, Texas. Mark Walker Matthews practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Walker Matthews is 1609090471. The last update date is 2022-07-27.
Mark Walker Matthews's current location address is 8017 Crazy Horse Ln, Fort Worth, Texas. You can contact this provider via phone number 8179093766. The mailing address for Mark Walker Matthews is 8017 Crazy Horse Ln, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Walker Matthews |
|---|---|
| Address | 8017 Crazy Horse Ln, Fort Worth, Texas |
| Phone Number | 8179093766 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1609090471 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2022-07-27 |
Provider Mailing Address Detail
| Address | 8017 Crazy Horse Ln |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761374161 |
| Phone Number | 8179093766 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 31431 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1031619 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Walker Matthews by the Centers for Medicare & Medicaid Services?
The Mark Walker Matthews has been assigned the NPI (National Provider Identifier) 1609090471. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Walker Matthews?
The Mark Walker Matthews is physically situated at 8017 Crazy Horse Ln, in the city of Fort Worth, state of TX, with the postal code 761374161.
What is the area of specialization for Mark Walker Matthews, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Walker Matthews is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609090471 to Mark Walker Matthews?
The Centers for Medicare & Medicaid Services assigned the 1609090471 to Mark Walker Matthews on 2007-04-12.
As of what date was the information pertaining to Mark Walker Matthews, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Walker Matthews, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-27.
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