SearchTexas171100000X

Ivan Matula, L.AC., O.M.D.,

NPI 1710198247 · on the registry since 2007 · sole proprietor

Practice

Address
711 W 38th St
Suite G3
Austin, TX 78705
Phone
(512) 517-9830
Fax
(512) 517-9830
Organisation at this address
Btdi Jv, Llp
Metro Periodontics
Austin Open Mri Lp
Djay Management Llc
Symphony Healthcare Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
96

Registry record

Primary taxonomy
171100000X
171100000X
Also registered as
171100000X
Licence states on file
NM, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Texas