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NPI Code Detail

MEDICARE: MERLYN MATHEW RN

MEDICARE: MERLYN MATHEW RN
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
1163WA2000XAdministrator Registered Nurse888131TX

General Provider Information

NPI Number : 1265382923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERLYN MATHEW RN
Provider Business Mailing Address
First Line : 1305 BALLEYWOOD RD
Second Line :
City : IRVING
State : TX
Zip : 75060-6209
Country : US
Telephone Number : 214-608-0840
Fax Number :
Provider Business Practice Location Address
First Line : 8277 BELLEVIEW DR
Second Line :
City : PLANO
State : TX
Zip : 75024-0358
Country : US
Telephone Number : 972-384-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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