Individual
MR. JOHN WILLIAM MATHEWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5615 DEAUVILLE STE 220, MIDLAND, TX 79706-2707
(432) 221-5560
Mailing address
5615 DEAUVILLE STE 220, MIDLAND, TX 79706-2707
(432) 221-5560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT 185032
PA
208600000X
Surgery Physician
MT185032
PA
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
N5229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380896601
—
TX
01
—
N5229
STATE LICENSE
TX
Enumeration date
08/21/2007
Last updated
09/08/2020
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