Provider Demographics
NPI:1598833428
Name:MATREX LIMIED GROUP CORP
Entity type:Organization
Organization Name:MATREX LIMIED GROUP CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:C
Authorized Official - Last Name:BLAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-948-9798
Mailing Address - Street 1:777 SR L THORNTON FWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-2901
Mailing Address - Country:US
Mailing Address - Phone:214-948-9798
Mailing Address - Fax:214-948-9830
Practice Address - Street 1:777 SR L THORNTON FWY
Practice Address - Street 2:SUITE 201
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-2901
Practice Address - Country:US
Practice Address - Phone:214-948-9798
Practice Address - Fax:214-948-9830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007108251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health