Mariamma Sunny Mathew in Dallas - Pediatrics

Mariamma Sunny Mathew - NPI 1275713885

Mariamma Sunny Mathew is a Pediatrics in Dallas, Texas. Mariamma Sunny Mathew practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mariamma Sunny Mathew is 1275713885. The last update date is 2008-11-22.

Mariamma Sunny Mathew's current location address is 5201 Harry Hines Blvd, Dallas, Texas. You can contact this provider via phone number 2145908006. The mailing address for Mariamma Sunny Mathew is 5201 Harry Hines Blvd, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mariamma Sunny Mathew
Address 5201 Harry Hines Blvd, Dallas, Texas
Phone Number 2145908006
Fax Number
Sole Proprietor N
Credentials PNP

NPI Number Detail

NPI Number 1275713885
Provider Enumeration Date 2007-11-12
Last Updated Date 2008-11-22

Provider Mailing Address Detail

Address 5201 Harry Hines Blvd
City Dallas
State Texas (TX)
Post Code 752357708
Phone Number 2145908006
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 645286
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
187658302 TX --
8Y3243 TX BLUE CROSS BLUE SHIELD

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FAQs about Mariamma Sunny Mathew

What is the unique 10-digit identifier code assigned to Mariamma Sunny Mathew by the Centers for Medicare & Medicaid Services?

The Mariamma Sunny Mathew has been issued the NPI (National Provider Identifier) 1275713885 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Mariamma Sunny Mathew is geographically located?

The Mariamma Sunny Mathew is physically situated at the following location: 5201 Harry Hines Blvd, Dallas, TX, 752357708.

What is Mariamma Sunny Mathew's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mariamma Sunny Mathew's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.

On what date was the 1275713885 assigned to Mariamma Sunny Mathew?

The Mariamma Sunny Mathew was issued its 1275713885 on 2007-11-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Mariamma Sunny Mathew most recently updated or revised?

The details related to Mariamma Sunny Mathew, including its address, specialty, and other relevant information, were last updated or revised on 2008-11-22.

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