# FULL LIFE PRIMARY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Full Life Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427775451
- **Authorized official:** SHEELU MATHEWS MD (MANAGER)
- **Authorized official phone:** (973) 207-4589

## Contact information

- **Practice address:** 600 E TAYLOR ST STE 201, SHERMAN, TX 75090-2832
- **Practice address phone:** (903) 257-3929
- **Practice address fax:** (903) 827-4015
- **Mailing address:** 600 E TAYLOR ST STE 201, SHERMAN, TX 75090-2832
- **Mailing address phone:** (903) 257-3929
- **Mailing address fax:** (903) 827-4015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 10/20/2022
- **Last updated:** 12/06/2022