Provider Demographics
NPI:1235584004
Name:MCCABE, MATTHEW (DPM)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:MCCABE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 MATLOCK RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3710
Mailing Address - Country:US
Mailing Address - Phone:325-480-2063
Mailing Address - Fax:702-514-6292
Practice Address - Street 1:2270 MATLOCK RD STE 104
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-3710
Practice Address - Country:US
Practice Address - Phone:325-480-2063
Practice Address - Fax:702-514-6292
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-29
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2362213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8LA098OtherBLUE CROSS RECORD NUMBER
TX8LA099OtherBLUE CROSS RECORD NUMBER