Individual
VIMALA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2002 HOLCOMBE ,HOUSTON,TEXAS, 5807 MARTINIQUE PASS, SUGARLAND, TX 77479
(281) 277-6646
Mailing address
5807 MARTINIQUE PASS, SUGAR LAND, TX 77479-4159
(281) 277-6646
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
656974
TX
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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