MATRIX SPECIALTY CARE, PLLC


Address: 616 Martin Dr, Desoto, TX 75115-8519
Phone: 4696585707

MATRIX SPECIALTY CARE, PLLC (NPI# 1124512579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124512579
Entity Type Organization
Organization Name MATRIX SPECIALTY CARE, PLLC
Practice Address 616 Martin Dr
Desoto
TX 75115-8519
Practice Telephone 4696585707
Mailing Telephone 4696585707
Enumeration Date 2018-06-19
Last Update Date 2018-06-19
Authorized Official Name CELESTINE ORONDO (MANAGING PARTNER)
Authorized Official Telephone 2672888751
Authorized Official Credential BSN, RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WI0500X Registered Nurse
Specialization: Infusion Therapy
Nursing Service Providers

Office Location

Street Address 616 MARTIN DR
City DESOTO
State TX
Zip Code 75115-8519

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Taxonomy Information

Taxonomy Code 163WI0500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Infusion Therapy

Taxonomy Definition

Definition to come...

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Competitor

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City DESOTO
Zip Code 75115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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