Matthew Tristan Dougherty
Matthew Tristan Dougherty is a Physician Assistant in Fort Bliss, Texas. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
11335 Ssg Sims StFort Bliss, TX 79918-8033
Phone: (850) 545-8528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1184517302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 29, 2025 |
| Last updated in NPPES | June 30, 2026 |
| Certification date | June 30, 2026 |
| Mailing address | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 |
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