Provider Demographics
NPI:1891870507
Name:SOKOL, MATTHEW PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:PETER
Last Name:SOKOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:SUITE 454
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:214-820-8300
Mailing Address - Fax:214-820-8313
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:SUITE 454
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:214-820-8300
Practice Address - Fax:214-820-8313
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2023-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY241509207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX199722301Medicaid
TX8BU822OtherBCBS
TXP00927095Medicare PIN
TX8L6795Medicare PIN