Individual
ANUMOL MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2221 8TH AVE, FORT WORTH, TX 76110-1812
(817) 336-5060
(817) 336-1744
Mailing address
2221 8TH AVE, FORT WORTH, TX 76110-1812
(817) 336-5060
(817) 336-1744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP136877
TX
Other
Enumeration date
03/06/2018
Last updated
03/19/2021
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