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● Active Type 1 · Individual

Jennifer Annisa Mathew, DO

Student in an Organized Health Care Education/Training Program·Tyler, TX· NPI 1003504499 · Enumerated 2023 · 3 years on NPI
Mathew is 1 of 301 student in an organized health care education/training program providers in Tyler and 1 of 17,330 in Texas.
NPI age
3 years
Enumerated 2023-04-25
Primary specialty
Student in an Organized Health Care Education/Training Program
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-21
Source: CMS NPPES provider record
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 17330 active student in an organized health care education/training program providers in Texas.

NPI age
3 years
≈ at median (2 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
6% of peers hold subspecialties

NPI lifetime · 2023 → 2023

2023-04Enumerated in NPPES
2023 2023

Where they practice

Practice location
11937 Us Highway 271
Tyler, TX 757083154
📞 9038777200
Mailing address
11937 Us Highway 271
Tyler, TX 757083154

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    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.
    TX license #BP10085254 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 454 other active providers share this practice address in NPPES.

Recently enumerated nearby: 30 new student in an organized health care education/training program providers have been added in Tyler in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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