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Individual

JAYA RAJI MATHAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2249 RIDGE RD., ROCKWALL, TX 75087
(469) 402-3600
Mailing address
1187 ANDREW CT, LEWISVILLE, TX 75056
(214) 295-4641

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
AP142867
TX

Other

Enumeration date
10/14/2019
Last updated
10/14/2019
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