Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | R1221 | TX |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | R1221 | TX |
NPI | 1114311669 |
---|---|
Provider Name | Dr. Matthew David Hnatow |
First Address | Corpus Christi, TX 78414-2455 |
Second Address | Corpus Christi, TX 78414-2455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2015 |
Last Update Date | 26/07/2021 |