Individual provider Active NPI

Renee Mary Mathew, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1174826606
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06982 Issued in TX
Practice address
7777 Forest LN Ste C135
Dallas, TX 75230-6825
Phone
(972) 347-4783
Fax
(972) 347-4916
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06982 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C135
Dallas, TX 75230-6825

Mailing address

7777 Forest LN Ste C135
Dallas, TX 75230-6825
Phone (972) 347-4783

Other practice location 1

12222 N Central Expy Ste 420
Dallas, TX 75243-3825
Phone (972) 347-4783

Other practice location 2

4300 Windsor Centre Trl Ste 400
Flower Mound, TX 75028-1865
Phone (972) 347-4783

Other practice location 3

4510 Medical Center Dr Ste 301
McKinney, TX 75069-1603
Phone (972) 347-4783

Other practice location 4

5575 Frisco Square Blvd Ste 240
Frisco, TX 75034-3313
Phone (972) 347-4783

Other practice location 5

515 W Mayfield Rd Ste 301
Arlington, TX 76014-2085
Phone (972) 347-4783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120928000259 TX Practitioner - Physician Assistant 0547419947 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA06982TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC CurrentSince Oct 12, 2017 Accepting new patients
Collin Emergency Medicine Associates PA Past Accepting new patients
Cardiology Specialists of North Texas, PLLC Past Accepting new patients

Locations

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

Interoperability endpoints

  • Direct secure messaging: renee.mathew@hca7.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1174826606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C135",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306825",
            "telephone_number": "972-347-4783",
            "fax_number": "972-347-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C135",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306825",
            "telephone_number": "972-347-4783",
            "fax_number": "972-347-4916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 N Central Expy Ste 420",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433825",
            "country_code": "US",
            "telephone_number": "972-347-4783",
            "fax_number": "972-347-4916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Windsor Centre Trl Ste 400",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750281865",
            "country_code": "US",
            "telephone_number": "972-347-4783",
            "fax_number": "972-347-4916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 Medical Center Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750691603",
            "country_code": "US",
            "telephone_number": "972-347-4783",
            "fax_number": "972-347-4916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 Frisco Square Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343313",
            "country_code": "US",
            "telephone_number": "972-347-4783",
            "fax_number": "972-347-4916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Mayfield Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142085",
            "country_code": "US",
            "telephone_number": "972-347-4783",
            "fax_number": "972-347-4916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "RENEE",
        "middle_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.