Elcy Mathai John is a Specialist in Tomball, Texas. Elcy Mathai John practices all healthcare services and medical treatments related to Specialist. The NPI Number for Elcy Mathai John is 1083611628. The last update date is 2012-12-27.
Elcy Mathai John's current location address is 455 School St, Tomball, Texas. You can contact this provider via phone number 2813741860 and fax number 2812550550. The mailing address for Elcy Mathai John is 455 School St, Tomball, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elcy Mathai John |
|---|---|
| Address | 455 School St, Tomball, Texas |
| Phone Number | 2813741860 |
| Fax Number | 2812550550 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083611628 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2012-12-27 |
Provider Mailing Address Detail
| Address | 455 School St |
|---|---|
| City | Tomball |
| State | Texas (TX) |
| Post Code | 773754595 |
| Phone Number | 2813741860 |
| Fax Number | 2812550550 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | L8126 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200099770A | TX | -- | |
| 8R1193 | TX | BLUE CROSS BLUE SHIELD | |
| 171664901 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Elcy Mathai John by the Centers for Medicare & Medicaid Services?
The Elcy Mathai John has been issued the NPI (National Provider Identifier) 1083611628, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Elcy Mathai John?
The Elcy Mathai John is situated at 455 School St, in the city of Tomball, state of TX, with the zip code 773754595.
What is Elcy Mathai John's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elcy Mathai John's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When was the Elcy Mathai John's 1083611628 issued?
The Elcy Mathai John's 1083611628 was issued on 2005-06-28.
When was the information related to Elcy Mathai John most recently updated or refreshed?
The details pertaining to the Elcy Mathai John, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-12-27.