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General NPI Number Information
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NPI Number | 1588161087
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Entity Type | Individual
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Provider Name | GENA ELIZABETH MATHEW PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1515 HOLCOMBE BLVD UNIT 426
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 832-294-7559
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Fax |
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Provider Business Mailing Address
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Address Line | 5226 KIAM ST UNIT 1020
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City | HOUSTON
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State | TX
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Zip | 77007-1977
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Country | US
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Telephone | 832-859-5276
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | PA11960
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA11960
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA11960
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License Number State | TX
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