Individual
HOLLI FAY MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 450-6300
(210) 450-9657
Mailing address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 450-6300
(210) 450-9657
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18744
TX
Other
Enumeration date
11/05/2024
Last updated
06/18/2025
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