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JESELLE A MATHEWS MDPA NPI 1710090451


NPI Information

NPI: 1710090451
Provider Name: JESELLE A MATHEWS, MDPA

Doing Business As: WOMENS DIAGNOSTIC CENTER

Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

CLIA Number: 45D0935473

Address:
2134 E. GRIFFIN PKWY
MISSION, TX
ZIP 78572
Phone: (956) 580-0580
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JESELLE A MATHEWS, MDPA is an obstetrics obstetrics gynecology in Mission, TX. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee JESELLE A MATHEWS, MDPA NPI is 1710090451. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Womens Diagnostic Center.

The provider's business location address is:

2134 E. GRIFFIN PKWY
MISSION, TX
ZIP 78572
Phone: (956) 580-0580
Fax: (956) 580-7631

The provider's authorized official is Jeselle A Mathews .
The authorized official title is Doctor and has the following contact phone number (956) 580-0580.

The CLIA number assigned to this NPI record is 45D0935473 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 9/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetricsH6416TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100T45NOTHERTEXASBLUE CROSS BLUE SHIELD
200T45NMEDICARE ID-TYPE UNSPECIFIEDTEXAS
3E92358MEDICARE UPINTEXAS
4135573704MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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