Michael Trae Mattison in Lubbock - Anatomic Pathology & Clinical Pathology

Michael Trae Mattison - NPI 1952411977

Michael Trae Mattison is a Anatomic Pathology & Clinical Pathology in Lubbock, Texas. Michael Trae Mattison practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Michael Trae Mattison is 1952411977. The last update date is 2022-12-16.

Michael Trae Mattison's current location address is 410 N Utica Ave, Lubbock, Texas. You can contact this provider via phone number 8067761098 and fax number 8067712078. The mailing address for Michael Trae Mattison is 410 N Utica Ave, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Trae Mattison
Address 410 N Utica Ave, Lubbock, Texas
Phone Number 8067761098
Fax Number 8067712078
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1952411977
Provider Enumeration Date 2006-08-30
Last Updated Date 2022-12-16

Provider Mailing Address Detail

Address 410 N Utica Ave
City Lubbock
State Texas (TX)
Post Code 794163035
Phone Number 8067761098
Fax Number 8067712078

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology & Clinical Pathology
Taxonomy 207Zp0102X
Licence No K4741
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
98574213 NM --
165107702 TX --
8K3321 TX BLUE CROSS BLUE SHIELD
113365100 TX FIRSTCARE

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FAQs about Michael Trae Mattison

What is the unique 10-digit identifier code assigned to Michael Trae Mattison by the Centers for Medicare & Medicaid Services?

The Michael Trae Mattison has been issued the NPI (National Provider Identifier) 1952411977 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Michael Trae Mattison?

The Michael Trae Mattison is situated at 410 N Utica Ave, in the city of Lubbock, state of TX, with the zip code 794163035.

What is Michael Trae Mattison's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael Trae Mattison is Anatomic Pathology & Clinical Pathology, and the taxonomy code that classifies this field of practice is 207Zp0102X.

On what date did Michael Trae Mattison receive its 1952411977 assignment from the Centers for Medicare & Medicaid Services?

The Michael Trae Mattison was assigned its 1952411977 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Michael Trae Mattison, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Trae Mattison, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-12-16.

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