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NPI Code Detail

MEDICARE: SUDHA MATHAI PT

MEDICARE: SUDHA MATHAI PT
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
1225100000XPhysical Therapist1203278TX

General Provider Information

NPI Number : 1295174035
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUDHA MATHAI PT
Provider Business Mailing Address
First Line : 8700 N TARRANT PKWY
Second Line : SUITE 113
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-8464
Country : US
Telephone Number : 817-498-8344
Fax Number : 817-498-8702
Provider Business Practice Location Address
First Line : 8700 N TARRANT PKWY
Second Line : SUITE 113
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-8464
Country : US
Telephone Number : 817-498-8344
Fax Number : 817-498-8702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2013
Last Update Date : 06/14/2013

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Directions to “ SUDHA MATHAI PT” Practice Location

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