Individual
JAMIE MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 INWOOD RD FL 2, DALLAS, TX 75235-7320
(214) 645-4673
(214) 645-2661
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-4673
(214) 645-2661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
946873
TX
363L00000X
Nurse Practitioner
Primary
1211534
TX
Other
Enumeration date
08/28/2025
Last updated
05/11/2026
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