Provider Demographics
NPI:1912504796
Name:JOINT REGENERATION & ARTHRITIS RELIEF INSTITUTE OF DFW PLLC
Entity Type:Organization
Organization Name:JOINT REGENERATION & ARTHRITIS RELIEF INSTITUTE OF DFW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:917-923-8394
Mailing Address - Street 1:205 OAKBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3363
Mailing Address - Country:US
Mailing Address - Phone:917-923-8394
Mailing Address - Fax:214-299-6317
Practice Address - Street 1:5072 W PLANO PKWY STE 220
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4475
Practice Address - Country:US
Practice Address - Phone:469-671-0900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty