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1790893816
SHIBU M. MATHEW
DALLAS, TX
NPI
1790893816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA02559)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
Mr. SHIBU M. MATHEW PA-C
4500 S LANCASTER RD CARDIOLOGY SECTION (111A)
DALLAS, TX 75216-7167
Phone number: 214-857-1556
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Mailing Address
Mr. SHIBU M. MATHEW PA-C
614 GREEN APPLE DR
GARLAND, TX 75044-2562
Phone number:
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