Individual
ANITHA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6825 SNIDER PLZ, DALLAS, TX 75205-1330
(469) 868-6005
(469) 868-6120
Mailing address
6825 SNIDER PLZ, DALLAS, TX 75205-1330
(469) 868-6005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA09287
TX
363A00000X
Physician Assistant
—
TX
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Enumeration date
10/15/2014
Last updated
05/07/2019
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