| Matthew P. Soape Md Pa | |
|
3814 22nd Pl Lubbock TX 79410-1118 | |
| (806) 795-4500 | |
| (806) 795-4792 |
| Full Name | Matthew P. Soape Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3814 22nd Pl, Lubbock, Texas |
| Authorized Official Name and Position | Matthew Phillip Soape (GASTROENTEROLOGIST) |
| Authorized Official Contact | 8067954500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew P. Soape Md Pa 3814 22nd Pl Lubbock TX 79410-1118 Ph: (806) 795-4500 | Matthew P. Soape Md Pa 3814 22nd Pl Lubbock TX 79410-1118 Ph: (806) 795-4500 |
| NPI Number | 1871080614 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/17/2018 |
| Medicare PECOS PAC ID | 7012262850 |
|---|---|
| Medicare Enrollment ID | O20180619000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871080614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | R2999 (Texas) | Primary |
| Provider Name | Matthew Phillip Soape |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477815124 PECOS PAC ID: 2668784976 Enrollment ID: I20180619000901 |
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