Tristan Matlock
Specialist/Technologist in Fort Worth, TX. Individual provider (NPI-1).
NPI number1841197845
StatusActive
Last updated in NPPESOct 22, 2026
Details
- NPI
- 1841197845
- Entity type
- Individual (NPI-1)
- Name
- Tristan Matlock
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2026
- Certification date
- Oct 22, 2026
- Last updated
- Oct 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235500000X | Specialist/Technologist | – | – | Yes |
Practice location
701 Sparrow Wood CtFort Worth, TX 76112-1638
Phone 682-232-8940
Mailing address
708 Quail Wood LnFort Worth, TX 76112-1605
Phone 682-232-8940
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