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1508672262
MIA ANDRES DA MATA
KINGWOOD, TX
NPI
1508672262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1180851)
Enumeration Date
2024-12-07
Last Update Date
2024-12-07
Business Address
MIA ANDRES DA MATA NP
22999 HWY 59 N
KINGWOOD, TX 77339-4412
Phone number: 281-348-8000
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Mailing Address
MIA ANDRES DA MATA NP
21379 HUNTER HART DR
PORTER, TX 77365-8817
Phone number: 949-813-1316
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