Provider Demographics
NPI:1073834826
Name:LAUGHLIN, MATTHEW D (DO)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:D
Last Name:LAUGHLIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 S IH 35 STE N5
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-6921
Mailing Address - Country:US
Mailing Address - Phone:512-729-3138
Mailing Address - Fax:512-599-9181
Practice Address - Street 1:2000 S IH 35 STE N5
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-6921
Practice Address - Country:US
Practice Address - Phone:512-729-3138
Practice Address - Fax:512-599-9181
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS1634207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery