Dr. Kelly Dawn Mattix
Pediatric Surgery
1901 Sw H K Dodgen Loop
Temple
, Texas 76502-1814
Dr. Kelly Dawn Mattix
Pediatric Surgery
1901 Sw H K Dodgen Loop
Temple
, Texas 76502-1814
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Kelly Dawn Mattix
- Po Box 844568
- Dallas, TX
- Zip : 75284-4658
- Phone :
Second Address
- Dr. Kelly Dawn Mattix
- 1901 Sw H K Dodgen Loop
- Temple, TX
- Zip : 76502-1814
- Phone : (254) 724-5437
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | N7560 | TX |
National Provider Identifier
| NPI | 1063685956 |
|---|---|
| Provider Name | Dr. Kelly Dawn Mattix |
| First Address | Dallas, TX 75284-4658 |
| Second Address | Temple, TX 76502-1814 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2008 |
| Last Update Date | 27/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.