Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew W. Wise, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1295394161

Matthew W. Wise, DO is a Family Practice in Dallas, Texas. Qualified in 2019, 7 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

6201 Harry Hines Blvd
Dallas, TX 75390-9201
Phone: (214) 645-9729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 590 S Wakara Way, Salt Lake City, UT 84108-1200 — (801) 587-5458
  • 331 Ne Thornton Pl, Seattle, WA 98125-8021 — (206) 520-2405

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12803890-1204 (UT)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 12803890-1204 (UT)

Record details

NPI number1295394161
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 13, 2019
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024
Mailing address590 S Wakara Way, Salt Lake City, UT 84108-1200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Dallas