Masters, Matthew Edward

Masters, Matthew Edward is an sole proprietor health care provider with primary practice located at 1705 Lost Creek Blvd , Austin TX 78746-6133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Masters, Matthew Edward can be contacted via phone (512) 329-0435.

Contact Information

Primary practice address
1705 Lost Creek Blvd Austin TX 78746-6133
Phone: (512) 329-0435
Fax: (512) 329-0435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X H4523 Texas
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X H4523 Texas

Profile Details

NPI number 1568453934
LBN Legal business name Masters, Matthew Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568453934 NPPES
Texas Other Y0074202 DPS NO
Texas Other H4523 DPS NO
Texas MEDICAID 131278701 DPS NO

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