Organization
CLINICAS SIN FRONTERAS GARLAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GONZALO MATA (OWNER)
(214) 926-0298
Entity
Organization
Contact information
Practice address
1625 S 1ST ST STE 5-E, GARLAND, TX 75040-8402
(469) 287-6999
(469) 661-9096
Mailing address
2312 CONROE CT, FLOWER MOUND, TX 75028-2376
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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