Provider Demographics
NPI:1679028807
Name:DANIEL C. MATHEWS, MD, PLLC
Entity Type:Organization
Organization Name:DANIEL C. MATHEWS, MD, PLLC
Other - Org Name:AUSTIN MIND AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-454-5911
Mailing Address - Street 1:555 ROUND ROCK WEST DR
Mailing Address - Street 2:SUITE E203
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5052
Mailing Address - Country:US
Mailing Address - Phone:512-689-0386
Mailing Address - Fax:512-243-8965
Practice Address - Street 1:555 ROUND ROCK WEST DR
Practice Address - Street 2:SUITE E203
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5052
Practice Address - Country:US
Practice Address - Phone:512-689-0386
Practice Address - Fax:512-243-8965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty