Healthcare Provider Details

I. General information

NPI: 1922879543
Provider Name (Legal Business Name): LIMI MATHEWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

638 UPTOWN BLVD STE 100
CEDAR HILL TX
75104-3539
US

IV. Provider business mailing address

6931 CHAPELRIDGE DR
DALLAS TX
75249-2601
US

V. Phone/Fax

Practice location:
  • Phone: 972-299-9666
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number42748
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: