Matlock, Robert C
Matlock, Robert C is an individual health care provider with primary practice located at 305 Londonderry Dr , Waco TX 76712-7929. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Matlock, Robert C can be contacted via phone (254) 537-6464.Contact Information
Primary practice address
305 Londonderry Dr
Waco TX 76712-7929
Phone: (254) 537-6464
Fax: (254) 537-6466
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | K3613 | Texas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K3613 | Texas |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | K3613 | Texas |
Profile Details
NPI number | 1265479273 |
---|---|
LBN Legal business name | Matlock, Robert C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2006 |
Last updated | Jan 30th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265479273 | NPPES |
Texas | MEDICAID | 124288506 |
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