Mathis, Gwendolyn

Mathis, Gwendolyn is an sole proprietor health care provider with primary practice located at 6780 Horizon Rd , Rockwall TX 75032-2103. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mathis, Gwendolyn can be contacted via phone (972) 346-1885.

Contact Information

Primary practice address
6780 Horizon Rd Rockwall TX 75032-2103
Phone: (972) 346-1885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 20988 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 834633 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1142764 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F0116574 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 249010 Arizona

Profile Details

NPI number 1194183137
LBN Legal business name Mathis, Gwendolyn
Credentials DNP-APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2016
Last updated May 2nd, 2024 - about 7 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194183137 NPPES
Arizona MEDICAID 093249

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