Individual
DR. PAUL MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 526-7523
(220) 564-4217
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.127840
OH
207L00000X
Anesthesiology Physician
Primary
T3662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179490
—
OH
Enumeration date
05/21/2012
Last updated
07/03/2024
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