LUIS ALBERTO MATA GONZALEZ

SAN JUAN, TX
NPI1790139699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  ap130908)
Enumeration Date2016-04-17
Last Update Date2024-07-30
Business Address
LUIS ALBERTO MATA GONZALEZ FNP
509 RIO RED
SAN JUAN, TX 78589-2281
Phone number: 956-458-1135
Mailing Address
LUIS ALBERTO MATA GONZALEZ FNP
3601 TOM GILL RD
PENITAS, TX 78576-7352
Phone number: 956-458-1135
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