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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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