MEDICARE: SUSAN MATHEW MD PLLC

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
1	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1013639368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN MATHEW MD PLLC

Provider Business Mailing Address
First Line	:	7102 TARRINGTON AVE UNIT 703
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7278
Country	:	US
Telephone Number	:	832-742-4131
Fax Number	:	713-490-3365

Provider Business Practice Location Address
First Line	:	7102 TARRINGTON AVE UNIT 703
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7278
Country	:	US
Telephone Number	:	832-742-4131
Fax Number	:	832-565-3364

Authorized Official
Title or Position	:	PROVIDER
Name	:	SUSAN MATHEW
Credential	:	MD
Telephone Number	:	832-742-4131

Provider Enumeration Date	:	09/14/2022
Last Update Date	:	09/22/2025

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