Igor Evan Matwijiw M.D.

NPI 1114911369 - Internal Medicine - 207RE0101X

NPI Details
NPI 1114911369
Gender Male
Enumeration Date 09/02/2005
Last Updated 04/29/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
2604 ST MICHAEL DR
STE 310
TEXARKANA TX, 75503-2373, US
Phone (903) 614-5530
Fax (903) 614-5535
Business Location
2604 ST MICHAEL DR
STE 310
TEXARKANA TX, 75503-2373, US
Phone (903) 614-5530
Fax (903) 614-5535
Toxanomy
Taxonomy Code 207RE0101X
License State Texas
License Number J4910
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According to our database, Igor Evan Matwijiw M.D. NPI is 1114911369, taxonomy code is 207RE0101X and license number is J4910, license state is located at Texas. Igor Evan Matwijiw M.D. physically located at 2604 St Michael Dr, Texarkana TX, 75503-2373. NPI Number Igor Evan Matwijiw M.D. has the Individual type.

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1114911369 NPI number is provided on an as is basis without warranty of any kind. 1114911369 is maintained by the National Plan & Provider Enumeration System. The contents of Igor Evan Matwijiw M.D. are for informational purposes only.