Individual
LISA MATARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, ACNPC-AG
Contact information
Practice address
3614 BILL PRICE RD, DEL VALLE, TX 78617-2773
(512) 854-7432
Mailing address
199 FROSTWEED DR, KYLE, TX 78640-2818
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1215343
TX
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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