ANTONIO MATA

FRISCO, TX
NPI1821657958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
(Licence: TX  019526)
Enumeration Date2019-06-12
Last Update Date2020-01-27
Business Address
ANTONIO MATA
1055 CRYSTAL LAKE DR
FRISCO, TX 75036-8878
Phone number: 305-297-0334
Mailing Address
ANTONIO MATA
1055 CRYSTAL LAKE DR
FRISCO, TX 75036-8878
Phone number: 305-297-0334