John, Elcy Mathai
John, Elcy Mathai is an individual health care provider with primary practice located at 455 School St Suite 29, Tomball TX 77375-4595. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. John, Elcy Mathai can be contacted via phone (281) 374-1860.Contact Information
Primary practice address
455 School St Suite 29
Tomball TX 77375-4595
Phone: (281) 374-1860
Fax: (281) 255-0550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | L8126 | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | L8126 | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 24991 | Oklahoma |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 34806 | Oklahoma |
Profile Details
| NPI number | 1083611628 |
|---|---|
| LBN Legal business name | John, Elcy Mathai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Dec 27th, 2012 - about 14 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083611628 | NPPES |
| Texas | MEDICAID | 200099770A | |
| Texas | Other | 8R1193 | |
| Texas | MEDICAID | 171664901 |
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