Individual
JOHN ROBERT MATHIAS
Active
Individual
JOHN ROBERT MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H5378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U21S
BC BS OF TEXAS
TX
Enumeration date
12/11/2006
Last updated
03/19/2008
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