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Individual

DR. SHAWN MATHUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1702 FM 1960 BYPASS RD E, HUMBLE, TX 77338-3916
(281) 446-7173
(281) 812-2778
Mailing address
1702 FM 1960 BYPASS RD E, HUMBLE, TX 77338-3916
(281) 446-7173
(281) 812-2778

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R6827
TX
208800000X
Urology Physician
Primary
R6827
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R6827
TEXAS MEDICAL LICENSE
TX
Enumeration date
05/20/2013
Last updated
02/09/2021
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