Individual provider · Type 1 NPI

Lissy Mathew

Registered Nurse · San Antonio, TX

NPI number 1033905112 Active

Practice location

7400 Merton Minter St
San Antonio, TX 78229-4404

Mailing address

9807 Scenic View Dr
San Antonio, TX 78255-3442

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X691675 (TX)
Registered Nurse 163W00000X95074602 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1033905112

Lissy Mathew's National Provider Identifier is 1033905112, issued on Apr 16, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 20, 2025.