Individual
DR. SUSAN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M .D.
Contact information
Practice address
7102 TARRINGTON AVE STE 703, SUGAR LAND, TX 77479-7281
(281) 980-2717
(281) 265-3806
Mailing address
7102 TARRINGTON AVE STE 703, SUGAR LAND, TX 77479-7281
(281) 980-2717
(281) 265-3806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
195387
PA
207RR0500X
Rheumatology Physician
Primary
P8156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348750603
—
TX
01
—
392210YN34
MEDICARE
TX
01
—
392210ZL0W
MEDICARE
TX
01
—
8HY593
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/14/2010
Last updated
03/12/2026
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