DAVID GUADALUPE MATA

SAN ANTONIO, TX
NPI1790129815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: TX  619179)
Enumeration Date2013-04-19
Last Update Date2021-09-02
Business Address
DAVID GUADALUPE MATA ANP
18707 HARDY OAK BLVD STE 530
SAN ANTONIO, TX 78258-4791
Phone number: 210-495-8280
Mailing Address
DAVID GUADALUPE MATA ANP
7913 BANDERA RD
SAN ANTONIO, TX 78250-6511
Phone number: 210-698-9841
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