Organization Active NPI

Jacquin P Matthews MD PLLC

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1750701991
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J4909 Issued in TX
Legal business name
JACQUIN P MATTHEWS MD PLLC
Practice address
851 W Terrell Ave
Fort Worth, TX 76104-3161
Phone
(817) 870-1551
Fax
(817) 870-1818
NPI assigned
Apr 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacquin P Matthews, MD
Title
Owner
Phone
(817) 870-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X J4909 TX Primary

Addresses

Primary practice location

851 W Terrell Ave
Fort Worth, TX 76104-3161

Mailing address

851 W Terrell Ave
Fort Worth, TX 76104-3161
Phone (817) 870-1551

National Provider Directory

National Provider Directory

Locations

1125 S Henderson St
Fort Worth, TX 76104
Phone (817) 870-1056

1425 8th Ave
Ft Worth, TX 76104
Phone (817) 926-4118

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1750701991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W TERRELL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043161",
            "telephone_number": "817-870-1551",
            "fax_number": "817-870-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 W TERRELL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043161",
            "telephone_number": "817-870-1551",
            "fax_number": "817-870-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUIN P MATTHEWS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JACQUIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-870-1551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J4909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.