Individual provider · Type 1 NPI

Matthew Tristan Dougherty

Physician Assistant · Fort Bliss, TX

NPI number 1184517302 Active

Practice location

11335 Ssg Sims St
Fort Bliss, TX 79918-8033

Call (850) 545-8528 Map

Mailing address

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1184517302

Matthew Tristan Dougherty's National Provider Identifier is 1184517302, issued on May 29, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Bliss, TX. The record was last updated on Jun 30, 2026.