P Praxis·MD
● Active Type 1 · Individual

DR. Michael Trae Mattison, M.D.

Pathology·Lubbock, TX· NPI 1952411977 · Enumerated 2006 · 19 years on NPI
Mattison is 1 of 25 pathology providers in Lubbock and 1 of 1597 in Texas.
NPI age
19 years
Enumerated 2006-08-30
Primary specialty
Pathology
Plus 1 subspecialty
Licensed in
TX, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1597 active pathology providers in Texas.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
410 N Utica Ave
Lubbock, TX 794163035
📞 8067761098fax 8067712078
Mailing address
410 N Utica Ave
Lubbock, TX 794163035
📞 8067761098fax 8067712078

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1010 Airpark Center Dr
Nashville, TN 372175200
📞 6152214400

Specialties

  • Pathology Primary
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    TX license #K4741TN license #52120 taxonomy 207ZP0102X

Identifiers

TypeValueNotes
05 (NM) 98574213
05 (TX) 165107702
01 (TX) 8K3321 BLUE CROSS BLUE SHIELD
01 (TX) 113365100 FIRSTCARE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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