JOSE LUIS MATA

LAREDO, TX
NPI1073127817
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2155064)
Enumeration Date2020-08-31
Last Update Date2020-08-31
Business Address
JOSE LUIS MATA PTA
4500 SAN BERNARDO AVE STE 108
LAREDO, TX 78041-5718
Phone number: 956-284-0100
Mailing Address
JOSE LUIS MATA PTA
4500 SAN BERNARDO AVE STE 108
LAREDO, TX 78041-5718
Phone number:
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