Doctor Name: | DR. ASHA MATHEW |
NPI Number: | 1407174063 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | BP1-0037765 |
Business Practice Address: | 123 Ed Schmidt Blvd Ste 140 Hutto, TX - 786345586 |
Business Phone Number: | 8778005722 |
Business Fax Number: | 5128462072 |
Mailing Address: | 205 E University Ave Ste 200, GEORGETOWN |
State: | TX |
Postal Code: | 786266821 |
Phone Number: | 8778005722 |
Fax Number: | 5122571763 |
NPI Enumeration Date: | 05/06/2010 |
NPI Last Update Date: | 02/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | BP1-0037765 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |