Individual provider · Type 1 NPI

Matthew Paul Fiesta, MD

Diagnostic Radiology Physician · Fort Worth, TX

NPI number 1316100084 Active

Practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XN5674 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1316100084

Matthew Paul Fiesta, MD's National Provider Identifier is 1316100084, issued on Jul 3, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 21, 2022.