Provider Demographics
NPI:1952796765
Name:TAON, MATTHEW CZAR DY (MD, RPVI, WCC, CIIP)
Entity Type:Individual
Prefix:
First Name:MATTHEW CZAR
Middle Name:DY
Last Name:TAON
Suffix:
Gender:M
Credentials:MD, RPVI, WCC, CIIP
Other - Prefix:
Other - First Name:CZAR
Other - Middle Name:
Other - Last Name:TAON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, RPVI, WCC, CIIP
Mailing Address - Street 1:3551 ROGER BROOKE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-539-9582
Mailing Address - Fax:
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-539-9582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT06432085R0202X, 2085R0204X
CAA1462822085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology