Individual
CAROLINA A M DA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
102 S MEYER ST, KYLE, TX 78640-5686
(512) 268-2273
Mailing address
1480 CABELAS DR APT 223, BUDA, TX 78610-6204
(517) 230-3233
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14720
TX
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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