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NPI Code Detail

MEDICARE: SONIA MATHEW FNP-C

MEDICARE:   SONIA  MATHEW  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP131243TX
2363LP0200XPediatric Nurse PractitionerAP131243TX

General Provider Information

NPI Number : 1093264046
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA MATHEW FNP-C
Provider Business Mailing Address
First Line : 2310 DIAMOND SPRINGS DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7871
Country : US
Telephone Number : 713-516-1200
Fax Number :
Provider Business Practice Location Address
First Line : 9522 BROADWAY ST
Second Line : PEARLAND, TX-77584
City : PEARLAND
State : TX
Zip : 77584-7724
Country : US
Telephone Number : 713-516-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2016
Last Update Date : 06/27/2024

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Directions to “ SONIA MATHEW FNP-C” Practice Location

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