Matt Douglas Fay M.D.

NPI 1467613067 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1467613067
Gender Male
Enumeration Date 06/17/2008
Last Updated 01/26/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
4375 BOOTH CALLOWAY RD
#400 NORTH
NORTH RICHLAND HILLS TX, 76180-8359, US
Phone (817) 284-3915
Fax (817) 590-2593
Business Location
16980 DALLAS PKWY
SUITE 200
DALLAS TX, 75248-1908, US
Phone (972) 391-1915
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Matt Douglas Fay M.D. NPI is 1467613067, taxonomy code is 390200000X Matt Douglas Fay M.D. physically located at 4375 Booth Calloway Rd, North Richland Hills TX, 76180-8359. NPI Number Matt Douglas Fay M.D. has the Individual type.

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1467613067 NPI number is provided on an as is basis without warranty of any kind. 1467613067 is maintained by the National Plan & Provider Enumeration System. The contents of Matt Douglas Fay M.D. are for informational purposes only.