Individual
MATHIS T. ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
214 SW 26TH AVE, STE A, MINERAL WELLS, TX 76067
(940) 325-7064
(940) 325-7066
Mailing address
214 SW 26TH AVE STE A, MINERAL WELLS, TX 76067-8249
(940) 325-7064
(940) 325-7066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L4842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034LN
BLUE CROSS BLUE SHIELD
TX
01
—
8C8812
MEDICARE INDIVIDUAL NUMBE
TX
Enumeration date
07/10/2006
Last updated
10/29/2007
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