Individual
DR. SHIRLEY ANN MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
10600 MONTWOOD DR, SUITE 113, EL PASO, TX 79935-2700
(915) 252-9832
(915) 595-6953
Mailing address
PO BOX 962037, EL PASO, TX 79996-2037
(915) 252-9832
(915) 594-8972
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
DC6402
TX
Other
Enumeration date
01/23/2007
Last updated
07/16/2014
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