Most Relevant Information
Provider Data
| NPI Number: | 1003175233 |
| Provider Name: | MATTHEW TICE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | TRN17251 |
Most Important Dates
| Enumeration Date: | 05/08/2012 |
| Last Updated: | 11/29/2016 |
Provider Practice Location
12221 MERIT DR
SUITE 1500
DALLAS
TX
752512202
Practice Location Phone/Fax
| Phone: | 2142171911 |
| Fax: |
Provider Mailing Location
12221 MERIT DR
SUITE 1500
DALLAS
TX
752512202
Provider Mailing Phone/Fax
| Phone: | 2142171911 |
| Fax: |