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Individual

JOSCILIN MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3601 4TH ST STOP 9410, LUBBOCK, TX 79430-9410
(915) 215-8000
Mailing address
3601 4TH ST STOP 9410, LUBBOCK, TX 79430-9410

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
BP20080161
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/16/2019
Last updated
11/11/2023
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