Individual
LEENA SUSAN MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 ALBERTA AVE, EL PASO, TX 79905-2709
(915) 545-8826
(915) 545-6975
Mailing address
2605 QUARRYSTONE LN, MIDDLE ISLAND, NY 11953-1476
(813) 679-6278
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
BP10047639
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2013
Last updated
03/28/2019
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