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Individual
MRS. TESSY MATHEW
Active
Individual
MRS. TESSY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704173362
MI
363LA2200X
Adult Health Nurse Practitioner
796048
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP133836
TX
Other
Enumeration date
12/26/2006
Last updated
01/10/2023
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