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Individual

JOSELIN ANANDAM MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4510 MEDICAL CENTER DR STE 303, MCKINNEY, TX 75069-1603
(469) 307-5265
(833) 645-0188
Mailing address
PO BOX 911230, DALLAS, TX 75391-9103
(972) 997-8000

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
N1529
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP1-0017667
INSTITUTIONAL PERMIT
Enumeration date
06/13/2007
Last updated
12/05/2023
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