Healthcare Provider Details

I. General information

NPI: 1013639368
Provider Name (Legal Business Name): SUSAN MATHEW MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2022
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7102 TARRINGTON AVE UNIT 703
SUGAR LAND TX
77479-7278
US

IV. Provider business mailing address

7102 TARRINGTON AVE UNIT 703
SUGAR LAND TX
77479-7278
US

V. Phone/Fax

Practice location:
  • Phone: 832-742-4131
  • Fax: 832-565-3364
Mailing address:
  • Phone: 832-742-4131
  • Fax: 713-490-3365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: SUSAN MATHEW
Title or Position: PROVIDER
Credential: MD
Phone: 832-742-4131