Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kanmony Mathew, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1124491618

Kanmony Mathew, ACNPC-AG is a Nurse Practitioner in Richmond, Texas. Qualified in 2015, 11 years ago. Practices with UT Physicians, a 1,732-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
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Practice location Address checks out

17210 Bland Mills Ln
Richmond, TX 77407-2718
Phone: (832) 454-7694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP129286 (TX)

Record details

NPI number1124491618
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedNovember 5, 2015
Last updated in NPPESNovember 26, 2015
Mailing address17210 Bland Mills Ln, Richmond, TX 77407-2718

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ut Physicians — 1732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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