Mathew, Miny K.
Mathew, Miny K. is an individual health care provider with primary practice located at 4325 N Josey Ln Ste 300 , Carrollton TX 75010-4638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mathew, Miny K. can be contacted via phone (469) 800-4900.Contact Information
Primary practice address
4325 N Josey Ln Ste 300
Carrollton TX 75010-4638
Phone: (469) 800-4900
Fax: (469) 800-4909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA04162 | Texas |
Profile Details
| NPI number | 1477793495 |
|---|---|
| LBN Legal business name | Mathew, Miny K. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2009 |
| Last updated | Oct 11th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477793495 | NPPES |
| Texas | MEDICAID | 315565701 |
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