DANIEL FERNANDO MATA

HOUSTON, TX
NPI1124785878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA15490)
Enumeration Date2021-11-17
Last Update Date2022-04-27
Business Address
DANIEL FERNANDO MATA PA
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4000
Phone number: 713-792-6161
Mailing Address
DANIEL FERNANDO MATA PA
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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