Mathew, Jiby Paul

Mathew, Jiby Paul is an individual health care provider with primary practice located at 7460 Warren Pkwy Ste 160, Frisco TX 75034-4169. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mathew, Jiby Paul can be contacted via phone (972) 668-5400.

Contact Information

Primary practice address
7460 Warren Pkwy Ste 160 Frisco TX 75034-4169
Phone: (972) 668-5400
Fax: (972) 668-5401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 738112 Texas

Profile Details

NPI number 1538282389
LBN Legal business name Mathew, Jiby Paul
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jul 13th, 2011 - about 15 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 1538282389 NPPES
Texas Other D07564 MEDICARE RR PALMETTO
Texas Other DQ5280 MEDICARE RR PALMETTO
Texas MEDICAID 207573101 MEDICARE RR PALMETTO
Texas MEDICAID 207573102 MEDICARE RR PALMETTO

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