| Shirley Mathew Md Pa | |
|
12121 Richmond Avenue Suite 108 Houston TX 77082 | |
| (281) 531-0080 | |
| (281) 531-0094 |
| Full Name | Shirley Mathew Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 12121 Richmond Avenue, Houston, Texas |
| Authorized Official Name and Position | Shirley Mathew (PRESIDENT) |
| Authorized Official Contact | 2815310080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley Mathew Md Pa 12121 Richmond Avenue Suite 108 Houston TX 77082 Ph: (281) 531-0080 | Shirley Mathew Md Pa 12121 Richmond Avenue Suite 108 Houston TX 77082 Ph: (281) 531-0080 |
| NPI Number | 1851446801 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 11/30/2007 |
| Medicare PECOS PAC ID | 6901981018 |
|---|---|
| Medicare Enrollment ID | O20080313000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851446801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Shirley Mathew |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033391362 PECOS PAC ID: 2860577970 Enrollment ID: I20080313000603 |
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