Individual
JOHN ALBERT MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5610 WILLIAMS DR, ROBSTOWN, TX 78380-9496
(361) 687-4613
Mailing address
3426 LAWN VW, CORPUS CHRISTI, TX 78411-1702
(361) 687-4613
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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