Provider Demographics
NPI:1467519033
Name:KREBS, MATTHEW BRIAN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:BRIAN
Last Name:KREBS
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 LYNDON B JOHNSON FWY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-6100
Mailing Address - Country:US
Mailing Address - Phone:972-404-3850
Mailing Address - Fax:972-404-4103
Practice Address - Street 1:5005 LYNDON B JOHNSON FWY
Practice Address - Street 2:SUITE 350
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-6100
Practice Address - Country:US
Practice Address - Phone:972-404-3850
Practice Address - Fax:972-404-4103
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK08792083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine