Individual
ALVIN J MATHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-4906
(817) 250-1815
Mailing address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-4906
(817) 250-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H8240
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
H8240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110092972
RAILROAD MEDICARE
TX
05
—
129828305
—
TX
01
—
842594
BCBS
TX
Enumeration date
04/18/2006
Last updated
03/04/2024
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