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1801243779
MATHEW ROY
SOUTHLAKE, TX
NPI
1801243779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP130598)
Enumeration Date
2016-05-19
Last Update Date
2022-01-24
Business Address
MATHEW ROY
1920 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092-6510
Phone number: 817-442-5698
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Mailing Address
MATHEW ROY
2175 E SOUTHLAKE BLVD STE 120
SOUTHLAKE, TX 76092-6544
Phone number: 817-813-2700
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