Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | L4387 | TX |
NPI | 1073561833 |
---|---|
Provider Name | Dr. Matthew J Geck |
First Address | Austin, TX 78701-1926 |
Second Address | Austin, TX 78731-6400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 23/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
152301103 | (05) | TX |
152301104 | (05) | TX |
H66461 | (02) | TX |