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Individual

BEENA MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
855 DAVIS BLVD, SOUTHLAKE, TX 76092-8244
(817) 912-1771
Mailing address
4512 CORNER BROOK LN, FORT WORTH, TX 76123-2755
(201) 274-9550

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP138613
TX

Other

Enumeration date
05/30/2019
Last updated
05/30/2019
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