Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | TRN#11220 | FL |
N | 208600000X | Surgeon | TRN#11220 | FL |
Y | 208C00000X | Colorectal Surgeon | P4065 | TX |
NPI | 1013111889 |
---|---|
Provider Name | Dr. Matthew Robert Hughes |
First Address | Carrollton, TX 75007-1426 |
Second Address | Plano, TX 75093-7918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
339068403 | (05) | TX |
339068404 | (05) | TX |