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NPI Code Detail

MEDICARE: NEELAM MATH FNP-C

MEDICARE: NEELAM MATH FNP-C
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
1363LF0000XFamily Nurse PractitionerAP112634TX

General Provider Information

NPI Number : 1982602512
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEELAM MATH FNP-C
Provider Business Mailing Address
First Line : 8517 GALLERY WAY
Second Line :
City : MCKINNEY
State : TX
Zip : 75072-8401
Country : US
Telephone Number : 214-738-0950
Fax Number :
Provider Business Practice Location Address
First Line : 5252 W UNIVERSITY DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-7822
Country : US
Telephone Number : 214-738-0950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 09/14/2019

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