Provider Demographics
NPI:1871080614
Name:MATTHEW P. SOAPE MD PA
Entity type:Organization
Organization Name:MATTHEW P. SOAPE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GASTROENTEROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:SOAPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-795-4500
Mailing Address - Street 1:3814 22ND PL
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1118
Mailing Address - Country:US
Mailing Address - Phone:806-795-4500
Mailing Address - Fax:806-795-4792
Practice Address - Street 1:3814 22ND PL
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1118
Practice Address - Country:US
Practice Address - Phone:806-795-4500
Practice Address - Fax:806-795-4792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2999207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty