Provider Demographics
NPI:1295189330
Name:CATES, MATTHEW CHASE (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:CHASE
Last Name:CATES
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 N FRIO ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3034
Mailing Address - Country:US
Mailing Address - Phone:210-688-5792
Mailing Address - Fax:
Practice Address - Street 1:303 N FRIO ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3034
Practice Address - Country:US
Practice Address - Phone:210-688-5792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-14
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR9195207R00000X
CA20A17118207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine