Matthew V Land, PA

NPI #1205889086 in Tyler, Texas

Provider Information

NPI Number: 1205889086
Entity Type: Individual
Name: Matthew V Land, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 19, 2006
Last Updated: Feb 29, 2016

Practice Location

Address: 910 E HOUSTON ST
Address 2: STE 330
City: Tyler
State: Texas
ZIP Code: 75702-8369
Phone: (903) 525-7995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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