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Organization
NELSON A MATA
Active
Organization
NELSON A MATA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH PETERS RHIA (OFFICE MANAGER)
(956) 630-4155
Entity
Organization
Contact information
Practice address
603 SOUTH NEBRASKA, SAN JUAN, TX 78589-2647
(956) 121-0663
(956) 787-2666
Mailing address
603 S. NEBRASKA, SAN JUAN, TX 78589-2647
(956) 787-0669
(956) 787-2666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
11/17/2010
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