Individual
SOPHIE MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3323 SE MILITARY DR, SAN ANTONIO, TX 78223-3814
(210) 333-1031
Mailing address
238 KOEHLER CT, SAN ANTONIO, TX 78223-2524
(210) 333-1031
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
TX
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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