Laura P Mattingly in Fort Worth - Physician Assistant
Laura P Mattingly - NPI 1972692697
Laura P Mattingly is a Physician Assistant in Fort Worth, Texas. Laura P Mattingly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Laura P Mattingly is 1972692697. The last update date is 2015-06-11.
Laura P Mattingly's current location address is Po Box 99335, Fort Worth, Texas. You can contact this provider via phone number 8177352363 and fax number 8177352653. The mailing address for Laura P Mattingly is Po Box 99335, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura P Mattingly |
|---|---|
| Address | Po Box 99335, Fort Worth, Texas |
| Phone Number | 8177352363 |
| Fax Number | 8177352653 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1972692697 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2015-06-11 |
Provider Mailing Address Detail
| Address | Po Box 99335 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761990335 |
| Phone Number | 8177352363 |
| Fax Number | 8177352653 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03908 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8245NN | TX | BCBS | |
| 183901102 | TX | -- | |
| 8Y9490 | TX | BCBS | |
| 183901101 | TX | -- | |
| 385175YS0Q | TX | -- | |
| RAILROAD MEDICA | TX | P01447517 | |
| 183901104 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Laura P Mattingly by the Centers for Medicare & Medicaid Services?
The Laura P Mattingly has been issued the NPI (National Provider Identifier) 1972692697. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Laura P Mattingly?
The Laura P Mattingly is physically situated at Po Box 99335, in the city of Fort Worth, state of TX, with the postal code 761990335.
What is Laura P Mattingly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Laura P Mattingly's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Laura P Mattingly's 1972692697 issued?
The Laura P Mattingly's 1972692697 was issued on 2006-10-12.
As of what date were the Laura P Mattingly's details last updated?
The information pertaining to the Laura P Mattingly, including its address, specialty, and other details, was most recently updated on 2015-06-11.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY