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NPI Code Detail

MEDICARE: CLARE ELIZABETH MATHERS

MEDICARE: CLARE ELIZABETH MATHERS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1801598982
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARE ELIZABETH MATHERS
Provider Business Mailing Address
First Line : 1542 PARK MEADOW DR
Second Line :
City : KATY
State : TX
Zip : 77450-4808
Country : US
Telephone Number : 281-799-9530
Fax Number :
Provider Business Practice Location Address
First Line : 1500 E SHERMAN BLVD
Second Line :
City : MUSKEGON
State : MI
Zip : 49444-1849
Country : US
Telephone Number : 231-672-8286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2023
Last Update Date : 05/14/2026

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Directions to “ CLARE ELIZABETH MATHERS ” Practice Location

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