Organization
JESELLE A MATHEWS, MDPA
Active
Other names
Womens Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESELLE A MATHEWS M.D. (DOCTOR)
(956) 580-0580
Entity
Organization
Contact information
Practice address
2134 E. GRIFFIN PKWY, MISSION, TX 78572
(956) 580-0580
(956) 580-7631
Mailing address
PO BOX 1595, MISSION, TX 78573-0027
(956) 580-0580
(956) 580-7631
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
H6416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T45N
BLUE CROSS BLUE SHIELD
TX
05
—
135573704
—
TX
Enumeration date
08/16/2006
Last updated
09/18/2008
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