Provider Demographics
NPI:1285769935
Name:SIMPSON, MATTHEW DANIEL (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:DANIEL
Last Name:SIMPSON
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 1:2601 AIRPORT FWY
Mailing Address - Street 2:STE 500
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76111-2379
Mailing Address - Country:US
Mailing Address - Phone:817-232-1034
Mailing Address - Fax:817-847-9685
Practice Address - Street 1:2601 AIRPORT FWY
Practice Address - Street 2:STE 500
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76111-2379
Practice Address - Country:US
Practice Address - Phone:817-232-1034
Practice Address - Fax:817-847-9685
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10371111N00000X
CO6103111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor