# PROF. BEENA SUSAN MATHEW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003406489
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 1023526 | TX | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 1023526 | TX | — |

## Other

- **Enumeration date:** 01/20/2021
- **Last updated:** 05/11/2022