Individual
URSULA MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-0633
(817) 735-5089
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-0633
(817) 735-0111
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP129976
TX
Other
Enumeration date
01/28/2016
Last updated
05/24/2016
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