URSULA MATHIS


Address: 855 Montgomery St, Fort Worth, TX 76107-2553
Phone: 8177350633

URSULA MATHIS (NPI# 1316305865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316305865
Entity Type Individual
Full Name URSULA MATHIS
Credential NP
Practice Address 855 Montgomery St
Fort Worth
TX 76107-2553
Mailing Address Po Box 99335
Fort Worth
TX 76199-0335
Practice Telephone 8177350633
Practice Fax Number 8177355089
Mailing Telephone 8177350633
Mailing Fax Number 8177350111
Enumeration Date 2016-01-28
Last Update Date 2016-05-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
AP129976 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 855 MONTGOMERY ST
City FORT WORTH
State TX
Zip Code 76107-2553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831194455 Patricia Lowrimore Psychiatry & Neurology 855 Montgomery St, Fort Worth, TX 76107-2553 2005-06-20
1194353417 Jason L Thompson Student in an Organized Health Care Education/Training Program 855 Montgomery St, Fort Worth, TX 76107-2553 2020-03-31
1639701808 Tyrane Roberts-lagrone Pharmacist 855 Montgomery St, Fort Worth, TX 76107-2553 2020-02-06
1144860917 Melissa Edwards Petersen Clinical Neuropsychologist 855 Montgomery St, Fort Worth, TX 76107-2553 2020-01-09
1629553813 Lisa Jane Killam-worrall Pharmacist 855 Montgomery St, Fort Worth, TX 76107-2553 2018-10-03
1598250607 Sima Taj Mozdbar Optometrist 855 Montgomery St, Fort Worth, TX 76107-2553 2018-06-30
1588153993 Kristen Reuter Social Worker 855 Montgomery St, Fort Worth, TX 76107-2553 2018-05-02
1114431624 Emily J. Clark Counselor 855 Montgomery St, Fort Worth, TX 76107-2553 2017-11-20
1275073215 Elizabeth Svyatoslavna Balyakina Student in an Organized Health Care Education/Training Program 855 Montgomery St, Fort Worth, TX 76107-2553 2017-02-23
1588103659 Frederick Olen Barnum Iv Family Medicine 855 Montgomery St, Fort Worth, TX 76107-2553 2017-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629683602 Renovo Wound and Hyperbarics Pllc Emergency Medicine 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 2020-09-15
1669085437 Ryan Bourgeois Nurse Practitioner 2917 Crocket Street, Fort Worth, TX 76107 2020-08-31
1053920546 Christa Marie Widjaja Optometrist 1700 Montgomery St, Fort Worth, TX 76107 2020-07-30
1093351355 Raymond Iannone Pharmacist 850 Montgomery St, Suite #310, Fort Worth, TX 76107 2019-11-21
1053963744 Cumulus Injury Resolution, Inc. Chiropractor 4936 Byers Avenue, Fort Worth, TX 76107 2019-07-12
1770135576 Shadia Osakwe Physician Assistant 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 2019-07-11
1568945442 Sachin P Patel Physical Therapist 4825 Wellesley St, Fort Worth, TX 76107 2018-09-07
1023594025 Ftw Pharmacy Services Inc Durable Medical Equipment & Medical Supplies 2912 W 6th St Ste 150, Fort Worth, TX 76107 2018-07-13
1669974325 Helen Williamson Elliott Counselor 1751 River Run #217, Fort Worth, TX 76107 2018-03-08
1487156931 Pelvic Neuromonitoring Pllc Electrodiagnostic Medicine 111 Boland St #211, Ft Worth, TX 76107 2018-03-01
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891310009 Mercy Ngeusang Nurse Practitioner 5440 Tuxbury Pond Dr, Fort Worth, TX 76179-1489 2020-06-12
1003475682 Rachel A Oyejide Nurse Practitioner 4205 Golden Horn Ln, Fort Worth, TX 76123-2569 2019-06-07
1457829962 Nelius Njuguna Nurse Practitioner 5204 Bryant Irvin Rd Apt 2119, Fort Worth, TX 76132-3847 2018-11-02
1215442819 Samuel Nganga Kamau Nurse Practitioner 10008 Channing Rd, Fort Worth, TX 76244-8500 2017-12-06
1841739018 Shannon Boodhwani Nurse Practitioner 6100 Harris Pkwy Ste 345, Fort Worth, TX 76132-4134 2017-02-21
1831632306 Brianna Hawkins Nurse Practitioner 10628 Donnis Dr, Fort Worth, TX 76244-6658 2016-11-30
1518359645 Barbara Evans Nurse Practitioner 1001 12th Ave Ste 130, Fort Worth, TX 76104-3926 2015-02-26
1942575329 Mari J. Finley Nurse Practitioner 4503 Anglin Cir, Fort Worth, TX 76140-4205 2012-03-18
1306110366 Janice Renea Richardson Nurse Practitioner 1350 E Lancaster Ave Ste 100, Fort Worth, TX 76102-6671 2012-03-07
1477154490 Cassandra Jade Hinojosa Nurse Practitioner 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 2020-11-05
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Competitor

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City FORT WORTH
Zip Code 76107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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