Individual
VALSAMMA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
6303 HARRY HINES BLVD STE 101, MAPLE WOMEN'S HEALTH CENTER, DALLAS, TX 75235-5228
(214) 266-0130
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
509993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139699614
—
TX
05
—
139699616
—
TX
05
—
139699617
—
TX
05
—
139699618
—
TX
05
—
139699619
—
TX
05
—
139699620
—
TX
05
—
139699621
—
TX
05
—
139699622
—
TX
05
—
139699623
—
TX
05
—
139699624
—
TX
05
—
139699625
—
TX
Enumeration date
12/22/2006
Last updated
03/20/2009
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