Individual
ARUN MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-2834
(432) 640-2897
Mailing address
400 W 4TH ST, MCH CMIO OFFICE, ODESSA, TX 79761-5045
(432) 640-2408
(432) 640-4606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD20050505
NM
207R00000X
Internal Medicine Physician
N2188
TX
208M00000X
Hospitalist Physician
Primary
N2188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79285864
—
NM
01
—
97431201
HOBBS AHCCCS
NM
01
—
NM009X13
BLUE CROSS BLUE SHIELD
NM
01
—
P00268426
RAILROAD MEDICARE
NM
Enumeration date
03/27/2006
Last updated
11/26/2014
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