Individual
RIBI CHERIAN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
10423 TX-151, STE 103, SAN ANTONIO, TX 78251
(210) 816-8066
Mailing address
7522 COPPER MDW, CONVERSE, TX 78109-3941
(832) 436-3635
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1109294
TX
363LP2300X
Primary Care Nurse Practitioner
1109294
TX
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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