Basic Information
| Provider Information | |||||||||
| NPI: | 1871080614 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MATTHEW P. SOAPE MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3814 22ND PL | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794101118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067954500 | ||||||||
| FaxNumber: | 8067954792 | ||||||||
| Practice Location | |||||||||
| Address1: | 3814 22ND PL | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794101118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067954500 | ||||||||
| FaxNumber: | 8067954792 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2018 | ||||||||
| LastUpdateDate: | 04/17/2018 | ||||||||
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| AuthorizedOfficialLastName: | SOAPE | ||||||||
| AuthorizedOfficialFirstName: | MATTHEW | ||||||||
| AuthorizedOfficialMiddleName: | PHILLIP | ||||||||
| AuthorizedOfficialTitleorPosition: | GASTROENTEROLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 8067954500 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | R2999 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.