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Search › Arkansas › 363LF0000X

Matthew Brister

NPI 1154816098 · on the registry since 2018 · sole proprietor

Practice

Address
1555 Exchange Ave
Conway, AR 72032
Phone
(713) 793-4603
Organisation at this address
Conway Community Services
Conway Community Services
Conway Community Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
AR, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas