Mathews, Jeselle A
Mathews, Jeselle A is an sole proprietor health care provider with primary practice located at 2134 E Griffin Pkwy , Mission TX 78572-3225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Mathews, Jeselle A can be contacted via phone (956) 580-0580.Contact Information
Primary practice address
2134 E Griffin Pkwy
Mission TX 78572-3225
Phone: (956) 580-0580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | H6416 | Texas |
Profile Details
| NPI number | 1730368879 |
|---|---|
| LBN Legal business name | Mathews, Jeselle A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2007 |
| Last updated | May 31st, 2012 - about 12 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 | 1730368879 | NPPES |
| Texas | Other | 00T45N | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 135573704 | BLUE CROSS BLUE SHIELD |
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