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NPI 1013639368

NPI 1013639368 : SUSAN MATHEW MD PLLC : SUGAR LAND, TX

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General NPI Number Information
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    NPI Number           |    1013639368
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUSAN MATHEW MD PLLC 
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Dates
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    Enumeration Date     |    09/14/2022
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    7102 TARRINGTON AVE UNIT 703 
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    City                 |    SUGAR LAND
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    State                |    TX
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    Zip                  |    77479-7278
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    Country              |    US
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    Telephone            |    832-742-4131
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    Fax                  |    832-565-3364
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Provider Business Mailing Address
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    Address Line         |    7102 TARRINGTON AVE UNIT 703 
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    City                 |    SUGAR LAND
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    State                |    TX
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    Zip                  |    77479-7278
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    Country              |    US
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    Telephone            |    832-742-4131
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    Fax                  |    713-490-3365
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Authorized Official
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    Title or Position    |    PROVIDER
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    Name                 |     SUSAN  MATHEW 
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    Credential           |    MD
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    Telephone            |    832-742-4131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    
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