Individual
JEFFY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-6418
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-6418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
V0043
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
V0043
TX
207RP1001X
Pulmonary Disease Physician
Primary
V0043
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
06/20/2024
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