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Individual

RAJY J. MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
22015
SC
207L00000X
Anesthesiology Physician
Primary
K6644
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133670308
TX
05
133670309
TX
05
2337831
LA
01
8DJ827
BLUE CROSS BLUE SHIELD
TX
01
P01124349
RR MEDICARE
TX
Enumeration date
03/31/2006
Last updated
05/06/2020
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