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NPI Code Detail

MEDICARE: MATHIS HEALTH & WELLNESS CLINIC

MEDICARE: MATHIS HEALTH & WELLNESS CLINIC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1942971353
Entity Type Code : Organization
Provider Name (Legal Business Name) : MATHIS HEALTH & WELLNESS CLINIC
Provider Business Mailing Address
First Line : 1205 E SAN PATRICIO AVE
Second Line :
City : MATHIS
State : TX
Zip : 78368-2402
Country : US
Telephone Number : 361-453-4470
Fax Number : 800-621-5209
Provider Business Practice Location Address
First Line : 1205 E SAN PATRICIO AVE
Second Line :
City : MATHIS
State : TX
Zip : 78368-2402
Country : US
Telephone Number : 361-453-4470
Fax Number : 800-621-5209
Authorized Official
Title or Position : OWNER
Name : PETRA DELEON
Credential : FNP
Telephone Number : 210-980-0885
Provider Enumeration Date : 09/24/2021
Last Update Date : 01/08/2026

Similar Medicare Providers

1811340490 — MS. PETRA DE LEON FNP-C
Practice Location Address:
1205 E SAN PATRICIO AVE
MATHIS, TX
78368-2402
Practice Phone: 361-453-4470
Practice Fax: 800-621-5209
1023641545 — DONNA KAREN GROFF PLLC
Practice Location Address:
1205 E SAN PATRICIO AVE
MATHIS, TX
78368-2402
Practice Phone: 830-998-8892
Practice Fax: 361-884-1912
1750377073 — MATHIS HEALTH CARE CENTER LTD. CO
Practice Location Address:
1220 LOOP 459
MATHIS, TX
78368-1804
Practice Phone: 361-547-3318
Practice Fax: 361-547-3737
1356456586 — CITY OF MATHIS
Practice Location Address:
411 E SAN PATRICIO AVE
MATHIS, TX
78368-2351
Practice Phone: 361-547-3995
Practice Fax: 361-547-4214
1780775668 — LAKEVIEW HOME CARE INC
Practice Location Address:
307 EAST SAN PATRICIO
MATHIS, TX
78368
Practice Phone: 361-547-5501
Practice Fax: 361-547-3688
1811087000 — DR. WILLIAM ANGUSTUS HENDERSON DDS
Practice Location Address:
1312 E SAN PATRICIO
MATHIS, TX
78368
Practice Phone: 361-547-3286
Practice Fax:

Directions to “MATHIS HEALTH & WELLNESS CLINIC ” Practice Location

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