Provider Demographics
NPI:1235964669
Name:MATHEWS, HEATHER PATRICE
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:PATRICE
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 STEPHANIE DR
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-4828
Mailing Address - Country:US
Mailing Address - Phone:830-285-1386
Mailing Address - Fax:
Practice Address - Street 1:7418 JOHN SMITH DR STE 1105
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6020
Practice Address - Country:US
Practice Address - Phone:210-369-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker