Individual
ANCY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6551 HARRIS PKWY STE 110, FORT WORTH, TX 76132-6105
(817) 717-3033
(817) 984-4666
Mailing address
6551 HARRIS PKWY STE 110, FORT WORTH, TX 76132-6105
(817) 717-3033
(817) 984-4666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP144668
TX
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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