Matthew Todd Proctor in Jacksonville - Family Medicine
Matthew Todd Proctor - NPI 1164451407
Matthew Todd Proctor is a Family Medicine in Jacksonville, Texas. Matthew Todd Proctor practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Matthew Todd Proctor is 1164451407. The last update date is 2017-07-03.
Matthew Todd Proctor's current location address is 2026 S Jackson St, Jacksonville, Texas. You can contact this provider via phone number 9035865678. The mailing address for Matthew Todd Proctor is 2026 S Jackson St, Jacksonville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Todd Proctor |
|---|---|
| Address | 2026 S Jackson St, Jacksonville, Texas |
| Phone Number | 9035865678 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164451407 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2017-07-03 |
Provider Mailing Address Detail
| Address | 2026 S Jackson St |
|---|---|
| City | Jacksonville |
| State | Texas (TX) |
| Post Code | 7576658220 |
| Phone Number | 9035865678 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | L3209 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75-2616977-113 | TX | TRICARE | |
| 160029801 | TX | -- | |
| P00688868 | TX | RAIL ROAD | |
| 75-2616977-002 | TX | TRICARE | |
| 152404312 | TX | -- | |
| 160029802 | TX | -- | |
| 752616977113 | TX | TRICARE | |
| 8DZ886 | TX | BCBS BLUE | |
| P01304431 | TX | RAIL ROAD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Matthew Todd Proctor by the Centers for Medicare & Medicaid Services?
The Matthew Todd Proctor has been issued the NPI (National Provider Identifier) 1164451407, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Matthew Todd Proctor's physical address?
The Matthew Todd Proctor is physically located at 2026 S Jackson St, in the city of Jacksonville, TX, with the postal code 7576658220.
What is Matthew Todd Proctor's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matthew Todd Proctor's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164451407 to Matthew Todd Proctor?
The Centers for Medicare & Medicaid Services assigned the 1164451407 to Matthew Todd Proctor on 2006-06-30.
When was the information regarding Matthew Todd Proctor most recently updated?
The details pertaining to the Matthew Todd Proctor, including its address, specialty, and other relevant information, were last refreshed on 2017-07-03.
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