Fify Mathew PA-C

NPI 1023451671 - Physician Assistant - 363AM0700X

NPI Details
NPI 1023451671
Gender Female
Enumeration Date 04/14/2013
Last Updated 03/19/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
2002 HOLCOMBE BLVD
HOUSTON TX, 77030-4211, US
Phone (713) 794-7814
Fax
Business Location
22001 SOUTHWEST FREEWAY
SUITE 200
RICHMOND TX, 77469, US
Phone
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA08277
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According to our database, Fify Mathew PA-C NPI is 1023451671, taxonomy code is 363AM0700X and license number is PA08277, license state is located at Texas. Fify Mathew PA-C physically located at 2002 Holcombe Blvd, Houston TX, 77030-4211. NPI Number Fify Mathew PA-C has the Individual type.

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1023451671 NPI number is provided on an as is basis without warranty of any kind. 1023451671 is maintained by the National Plan & Provider Enumeration System. The contents of Fify Mathew PA-C are for informational purposes only.