Organization
EDEN REJUVENATION CENTER FOR WELLBEING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIJU MATHEW (MD)
(267) 471-7431
Entity
Organization
Contact information
Practice address
6913 CAMP BOWIE BLVD, FORT WORTH, TX 76116-7163
(267) 471-7431
(817) 732-8015
Mailing address
5605 FM 423, STE 500- 355, FRISCO, TX 75036-8960
(817) 731-6121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700170867
NPI
TX
Enumeration date
02/25/2021
Last updated
03/23/2026
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