NPI
Matthew Nannie
NPI 1457734477
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- D.C.
- Type
- Individual
- Enumeration date
- 2015-07-08
- Last updated
- 2023-02-09
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Specialties
Licenses
- License IL
- 038012842
- License TX
- 15135
Location
- Practice location
- 11805 Classic Ln
- City
- Forney, Tx TX
- Postal code
- 75126
- Phone
- (682) 706-2058
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
NPIs in Texas. Forney, Tx is not in the city index, so start from the state.
Public data from NPPES and CMS. Not a credentialing determination.
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