Active NPIIndividual providerSole proprietor

Stephanie M Matheu, MD

Student in an Organized Health Care Education/Training Program in San Antonio, Texas

NPI Number1639744121
Practice location
4502 Medical Dr, San Antonio, TX 78229-4402
Fax
—
Last updated
April 3, 2025

Stephanie Marie Matheu is a Student in an Organized Health Care Education/Training Program based in San Antonio, TX. Stephanie Marie Matheu practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Stephanie Marie Matheu is 1639744121 and holds a License No. 15732-I (PR). The current practice location address for Stephanie Marie Matheu is 4502 Medical Dr, San Antonio, TX 78229-4402 and can be reached out via phone at 210-358-4000.

Provider Profile Details

NPI Number
1639744121
Provider Name
Stephanie Marie Matheu
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4502 Medical Dr, San Antonio, TX 78229-4402
Phone Number
210-358-4000
Sole Proprietor
Yes
Provider Enumeration Date
May 26, 2021
Last Update Date
April 3, 2025
Certification Date
April 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4502 Medical Dr
San Antonio, TX 78229-4402
State
Texas
Zip
78229-4402
Phone Number
210-358-4000
San Antonio, TX 78229Get directions →

Provider Business Mailing Address Details

Address
4502 Medical Dr
San Antonio, TX 78229-4402
City
San Antonio
State
TX
Zip
78229-4402
Phone Number
210-358-4000

License Information

License Number (1)
15732-I
License State (1)
PR
License Number (2)
BP10081097
License State (2)
TX

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stephanie M Matheu, MD?

The NPI number of Stephanie M Matheu, MD is 1639744121. It was assigned on May 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Stephanie M Matheu, MD?

Stephanie M Matheu, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in PR under license number 15732-I.

Where does Stephanie M Matheu, MD practice?

The practice location is 4502 Medical Dr, San Antonio, TX 78229-4402. The office can be reached at 210-358-4000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639744121 directly on the NPPES registry website.

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