| Nibu Mathew, M.d., P.a. | |
|
400 Medic Ln Suite A Alvin TX 77511-5567 | |
| (281) 331-9241 | |
| Not Available |
| Full Name | Nibu Mathew, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Medic Ln, Alvin, Texas |
| Authorized Official Name and Position | Nibu Mathew (OWNER) |
| Authorized Official Contact | 2813319241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nibu Mathew, M.d., P.a. 400 Medic Ln Suite A Alvin TX 77511-5567 Ph: (281) 331-9241 | Nibu Mathew, M.d., P.a. 400 Medic Ln Suite A Alvin TX 77511-5567 Ph: (281) 331-9241 |
| NPI Number | 1942479514 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 02/27/2008 |
| Medicare PECOS PAC ID | 4789754151 |
|---|---|
| Medicare Enrollment ID | O20080528000694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942479514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nibu Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538231261 PECOS PAC ID: 8123036423 Enrollment ID: I20060328000725 |
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