Individual
DR. DANIEL ANTONIO MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2301 E LAMAR BLVD STE 650, ARLINGTON, TX 76006-7428
(800) 672-3782
Mailing address
2301 E LAMAR BLVD STE 650, ARLINGTON, TX 76006-7428
(800) 672-3782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52146
TX
Other
Enumeration date
09/13/2022
Last updated
09/15/2022
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