Provider Demographics
NPI:1245607761
Name:MATHEW, NURZY (NP)
Entity type:Individual
Prefix:
First Name:NURZY
Middle Name:
Last Name:MATHEW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17189 INTERSTATE 45 S., MEDICAL OFFICE BUILDING 2
Mailing Address - Street 2:SUITE 105,
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77385-9362
Mailing Address - Country:US
Mailing Address - Phone:936-270-4971
Mailing Address - Fax:936-270-4972
Practice Address - Street 1:17189 INTERSTATE 45 S., MEDICAL OFFICE BUILDING 2
Practice Address - Street 2:SUITE 105,
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77385
Practice Address - Country:US
Practice Address - Phone:936-270-4971
Practice Address - Fax:936-270-4972
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP128844363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily