Matthew Proctor MD PA
NPI #1164611943 in Breckenridge, Texas
Provider Information
- NPI Number
- 1164611943
- Entity Type
- Organization
- Organization Name
- Matthew Proctor MD PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 17, 2007
- Last Updated
- Nov 30, 2007
Practice Location
- Address
- 101 S HARTFORD ST
- Address 2
- SUITE B
- City
- Breckenridge
- State
- Texas
- ZIP Code
- 76424-4711
- Phone
- (254) 559-1595
Authorized Official
- Name
- TAMMY PROCTOR
- Title
- CREDENTIALING SPECIALIST
- Phone
- (254) 559-5140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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