Mary E Mathis, CRNA
Nurse Anesthetist, Certified Registered in Austin, TX. Individual provider (NPI-1).
NPI number1528041985
StatusActive
Last updated in NPPESJun 22, 2020
Details
- NPI
- 1528041985
- Entity type
- Individual (NPI-1)
- Name
- Mary E Mathis
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2005
- Certification date
- Jun 22, 2020
- Last updated
- Jun 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP103786 | TX | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 42838 | TX |
Practice location
3705 Medical PkwySuite 570
Austin, TX 78705-1019
Phone 512-454-2454 · Fax 512-454-1532
Mailing address
Po Box 840853Dallas, TX 75284-1019
Phone 972-233-1999 · Fax 972-233-3666
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