Provider Demographics
NPI:1245254929
Name:MATHUR, HIRU (DDS,MS)
Entity type:Individual
Prefix:
First Name:HIRU
Middle Name:
Last Name:MATHUR
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15200, SOUTH WEST FREEWAY
Mailing Address - Street 2:SUITE120
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3883
Mailing Address - Country:US
Mailing Address - Phone:281-494-2477
Mailing Address - Fax:281-494-2487
Practice Address - Street 1:15200, SOUTH WEST FREEWAY
Practice Address - Street 2:SUITE120
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3883
Practice Address - Country:US
Practice Address - Phone:281-494-2477
Practice Address - Fax:281-494-2487
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX199561223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics