Individual
DR. BILL JEFFREY MATHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 NE STALLINGS, STE 1100, NACOGDOCHES, TX 75965
(936) 560-4100
(936) 560-6093
Mailing address
3624 BUCKINGHAM DRIVE, NACOGDOCHES, TX 75965
(936) 569-6041
(936) 560-6093
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J8312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017KW
BLUE CROSS BLUE SHIELD
TX
05
—
116234904
—
TX
Enumeration date
07/07/2006
Last updated
08/19/2011
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