Provider Demographics
NPI:1154547404
Name:THOMAS, MATTHEW PHILIP (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:PHILIP
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8837 LEBANON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8654
Mailing Address - Country:US
Mailing Address - Phone:214-705-0888
Mailing Address - Fax:214-618-8089
Practice Address - Street 1:8837 LEBANON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8654
Practice Address - Country:US
Practice Address - Phone:214-705-0888
Practice Address - Fax:214-618-8089
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10435111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor