| Doctor Name: | DR. SUSAN MATHEW |
| NPI Number: | 1356651244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M .D. |
| License Number: | 195387 |
| Business Practice Address: | 16659 Southwest Fwy Ste 235 Sugar Land, TX - 774792372 |
| Business Phone Number: | 2819802717 |
| Business Fax Number: | 2812653806 |
| Mailing Address: | 16659 Southwest Fwy Ste 235, SUGAR LAND |
| State: | TX |
| Postal Code: | 774792372 |
| Phone Number: | 2819802717 |
| Fax Number: | 2812653806 |
| NPI Enumeration Date: | 10/14/2010 |
| NPI Last Update Date: | 03/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 195387 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |