Provider Demographics
NPI:1659754059
Name:COMLEY, MATTHEW CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:CHRISTOPHER
Last Name:COMLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1000 GARLAND JOHNSTON DR
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-4097
Mailing Address - Country:US
Mailing Address - Phone:940-553-2831
Mailing Address - Fax:940-473-6084
Practice Address - Street 1:1000 GARLAND JOHNSTON DR
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-4097
Practice Address - Country:US
Practice Address - Phone:940-553-2831
Practice Address - Fax:940-473-6084
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10053397207X00000X
TXS6376207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery