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Organization
MULTI SPECIALTY CLINIC OF TEXAS PLLC
Active
Organization
MULTI SPECIALTY CLINIC OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEYAMMA MATHEW NP (FNP)
(469) 779-0884
Entity
Organization
Contact information
Practice address
3453 SAINT FRANCIS AVE, 125, DALLAS, TX 75228-7199
(469) 779-0884
(469) 779-0920
Mailing address
3453 SAINT FRANCIS AVE, 125, DALLAS, TX 75228-7199
(469) 779-0884
(469) 779-0920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP-133700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760911572
NPI
TX
Enumeration date
02/22/2018
Last updated
02/22/2018
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