Individual
LEAH GAIL MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3300 S ASPEN AVE STE B, BROKEN ARROW, OK 74012-7501
(254) 724-5437
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210704
OK
Other
Enumeration date
06/18/2016
Last updated
03/05/2025
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