Matt P. Prewitt in Georgetown - Medical

Matt P. Prewitt - NPI 1023044898

Matt P. Prewitt is a Medical in Georgetown, Texas. Matt P. Prewitt practices all healthcare services and medical treatments related to Medical. The NPI Number for Matt P. Prewitt is 1023044898. The last update date is 2014-04-29.

Matt P. Prewitt's current location address is 100 High Trail Dr, Georgetown, Texas. You can contact this provider via phone number 5757701530. The mailing address for Matt P. Prewitt is 100 High Trail Dr, Georgetown, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Matt P. Prewitt
Address 100 High Trail Dr, Georgetown, Texas
Phone Number 5757701530
Fax Number
Sole Proprietor N
Credentials P.A.-C

NPI Number Detail

NPI Number 1023044898
Provider Enumeration Date 2006-06-24
Last Updated Date 2014-04-29

Provider Mailing Address Detail

Address 100 High Trail Dr
City Georgetown
State Texas (TX)
Post Code 786334582
Phone Number 5757701530
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA08154
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25070363 NM --

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FAQs about Matt P. Prewitt

What is the Matt P. Prewitt's unique identification number?

The Matt P. Prewitt has been assigned the NPI (National Provider Identifier) Number 1023044898 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Matt P. Prewitt's facilities are geographically located?

The facilities of Matt P. Prewitt are physically situated at the following location: 100 High Trail Dr, Georgetown, TX, 786334582.

What is Matt P. Prewitt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Matt P. Prewitt is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1023044898 to Matt P. Prewitt?

The Matt P. Prewitt received its 1023044898 assignment from the Centers for Medicare & Medicaid Services on 2006-06-24.

When was the information pertaining to Matt P. Prewitt most recently updated or revised?

The details related to Matt P. Prewitt, including its address, specialty, and other relevant information, were last updated or revised on 2014-04-29.

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