Koshy, Tara Mathew

Koshy, Tara Mathew is an individual health care provider with primary practice located at 3326 Chapelwood Dr , Sunnyvale TX 75182-4004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Koshy, Tara Mathew can be contacted via phone (214) 929-7325.

Contact Information

Primary practice address
3326 Chapelwood Dr Sunnyvale TX 75182-4004
Phone: (214) 929-7325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP140911 Texas

Profile Details

NPI number 1144788399
LBN Legal business name Koshy, Tara Mathew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2019
Last updated Mar 6th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144788399 NPPES
Texas MEDICAID AP140911

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