Matlock, Robert James

Matlock, Robert James is an sole proprietor health care provider with primary practice located at 900 W Houston St Suite A, Marshall TX 75670-3941. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Matlock, Robert James can be contacted via phone (903) 935-7031.

Contact Information

Primary practice address
900 W Houston St Suite A Marshall TX 75670-3941
Fax: (903) 935-3885
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10662 Texas

Profile Details

NPI number 1306985528
LBN Legal business name Matlock, Robert James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Nov 14th, 2012 - about 12 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 1306985528 NPPES
Texas MEDICAID 008425301

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