Provider Demographics
NPI:1487982690
Name:MATTHEWS, BARBARA A (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12431 S GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2925
Mailing Address - Country:US
Mailing Address - Phone:832-794-6255
Mailing Address - Fax:877-440-5457
Practice Address - Street 1:12431 S GARDEN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2925
Practice Address - Country:US
Practice Address - Phone:832-794-6255
Practice Address - Fax:877-440-5457
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-28
Last Update Date:2009-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18493174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist