Individual
ROY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N MARIENFELD ST, STE 308, MIDLAND, TX 79701-4395
(432) 617-3855
(432) 617-3840
Mailing address
6810 ISLAND CIR # 1, MIDLAND, TX 79707-1413
(432) 617-3855
(432) 617-3840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E6496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8U9360
BCBS
TX
Enumeration date
09/16/2006
Last updated
10/05/2007
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