MICHELE LEE MATLOCK


Address: 1600 Providence Dr, Waco, TX 76707-2261
Phone: 2543134200

MICHELE LEE MATLOCK (NPI# 1316134851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316134851
Entity Type Individual
Full Name MICHELE LEE MATLOCK
Credential M.S., PA-C
Practice Address 1600 Providence Dr
Waco
TX 76707-2261
Practice Telephone 2543134200
Practice Fax Number 2543134531
Mailing Telephone 2543134200
Mailing Fax Number 2543134531
Enumeration Date 2007-09-28
Last Update Date 2013-11-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA01063 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1600 PROVIDENCE DR
City WACO
State TX
Zip Code 76707-2261

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912900531 Matthew Rafalski Family Medicine 1600 Providence Dr, Waco, TX 76707-2261 2005-05-27
1083228621 Jourdan Brown Whorley Physician Assistant 1600 Providence Dr, Waco, TX 76707-2261 2020-09-01
1538778543 Hilda Ana Deen Nurse Practitioner 1600 Providence Dr, Waco, TX 76707-2261 2020-07-26
1427673128 Allison Dawn Thompson Family Medicine 1600 Providence Dr, Waco, TX 76707-2261 2020-06-09
1245855949 Thien Phu Nguyen Family Medicine 1600 Providence Dr, Waco, TX 76707-2261 2020-06-09
1134744824 William Casey Dean Family Medicine 1600 Providence Dr, Waco, TX 76707-2261 2020-06-09
1306461090 Corey Ryan Holt Family Medicine 1600 Providence Dr, Waco, TX 76707-2261 2020-06-09
1821613514 Kathryn Leah Kline Family Medicine 1600 Providence Dr, Waco, TX 76707-2261 2020-06-09
1346865037 Michael Thomas Boone Family Medicine 1600 Providence Dr, Waco, TX 76707-2261 2020-06-09
1295350999 Amanda Elizabeth Weaver Family Medicine 1600 Providence Dr, Waco, TX 76707-2261 2020-06-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588184493 Yukiyo Shimosawa Specialist/Technologist 1010 N 17th St, Waco, TX 76707 2017-06-21
1851730022 Krystal Ann Estrada Family Medicine 1600 Providence Drive, Waco, TX 76707 2013-06-20
1598902744 Narconon Hawaii Substance Abuse Rehabilitation Facility 90-1011 Lexington Avenue, Kapolei, HI 76707 2009-01-09
1851413520 Albert Bryan Lewter Jr. Dentist 1501 N 25th St, Waco, TX 76707 2007-04-04
1114010733 Remmel Henry Dentist 225 W. West Waco Dr., Waco, TX 76707 2006-10-02
1861831034 Ryan David Laschober Family Medicine 1600 Providence Drive, Waco, TX 76707 2013-06-20
1760821946 Brandi Escalante Street Family Medicine 1600 Providence Drive, Waco, TX 76707 2013-06-20
1972778199 Jason Craig Counselor 3621 Lasker Ave, Waco, TX 76707-1111 2008-04-29
1649831298 Melanie Adams Social Worker 3617 Maple Ave, Waco, TX 76707-1117 2019-06-25
1538721246 Jessica Marie Simon Nurse Practitioner 3613 Trice Ave, Waco, TX 76707-1127 2019-07-02
Find all providers in zip 76707

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619494226 Ariel Rennspies Physician Assistant 1135 Tx-340 Loop, Waco, TX 76705 2017-08-24
1689729493 Sarah Elaine Ranzinger Physician Assistant 601 W Hwy 6 Ste 105, Waco, TX 76710-5592 2007-01-24
1083228621 Jourdan Brown Whorley Physician Assistant 1600 Providence Dr, Waco, TX 76707-2261 2020-09-01
1922534478 Lina Ancha Physician Assistant 405 Londonderry Dr Ste 310, Waco, TX 76712-7922 2017-05-03
1093188831 Katelyn Dvorsky Physician Assistant 6101 Woodway Dr, Waco, TX 76712-6111 2015-11-02
1558741967 Fernando Galindo Physician Assistant 7700 Fish Pond Rd, Waco, TX 76710-1031 2015-06-02
1538419395 Meghan Marie Ruscitto Physician Assistant 6901 Medical Pkwy, Waco, TX 76712-7910 2012-09-19
1255689881 Kayla Renee Davis Physician Assistant 6600 Fish Pond Rd, Suite 202a, Waco, TX 76710-2581 2012-08-29
1538398458 Joseph Edward Justice I Physician Assistant 4800 Memorial Dr, Waco, TX 76711-1329 2009-07-13
1285888768 Jenny Louetta Nelson Physician Assistant 7003 Woodway Dr, Suite 311, Waco, TX 76712-6170 2008-11-10
Find all providers in WACO

Competitor

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City WACO
Zip Code 76707

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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