Individual
DR. NAOMI ELIZABETH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 W CENTRAL TEXAS EXPY, HARKER HEIGHTS, TX 76548-1890
(254) 618-1090
Mailing address
804 COPPER RIDGE LOOP, TEMPLE, TX 76502-5099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097145
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Q9435
TX
207RP1001X
Pulmonary Disease Physician
Primary
Q9435
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372079909
—
TX
01
—
861926
MEDICARE
TX
01
—
8LQ106
BCBS
TX
Enumeration date
08/03/2010
Last updated
12/09/2019
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