Individual provider · Type 1 NPI

Mathew Roy

Family Nurse Practitioner · Southlake, TX

NPI number 1801243779 Active

Practice location

1920 E State Highway 114
Southlake, TX 76092-6510

Mailing address

2175 E Southlake Blvd, Ste 120
Southlake, TX 76092-6544

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP130598 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1801243779

Mathew Roy's National Provider Identifier is 1801243779, issued on May 19, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southlake, TX. The record was last updated on Jan 24, 2022.