Renee Mary Mathew, PA-C

NPI #1174826606 in Grapevine, Texas

Provider Information

NPI Number: 1174826606
Entity Type: Individual
Name: Renee Mary Mathew, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 6, 2010
Last Updated: Aug 21, 2014

Practice Location

Address: 2020 W STATE HIGHWAY 114
Address 2: SUITE 110
City: Grapevine
State: Texas
ZIP Code: 76051-8649
Phone: (817) 865-6950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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