Provider Demographics
NPI:1669704904
Name:MATHEW, SEEMA (NP)
Entity type:Individual
Prefix:MRS
First Name:SEEMA
Middle Name:
Last Name:MATHEW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3430 LAKEVIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-3367
Mailing Address - Country:US
Mailing Address - Phone:972-475-2597
Mailing Address - Fax:
Practice Address - Street 1:3430 LAKEVIEW PKWY
Practice Address - Street 2:CVS MINUTE CLINIC
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-3367
Practice Address - Country:US
Practice Address - Phone:972-475-2597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP119066363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner