Individual
BIJU BENNY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
6913 CAMP BOWIE BLVD STE 171, FORT WORTH, TX 76116-7165
(817) 731-6121
(817) 732-8015
Mailing address
5605 FM 423, STE 500- 355, FRISCO, TX 75036-8960
(817) 731-6121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49383
AZ
207R00000X
Internal Medicine Physician
Primary
S7496
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
S7496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951062
—
AZ
Enumeration date
06/07/2011
Last updated
01/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us