Organization
MATA SURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO MATA (LSA)
(210) 687-4214
Entity
Organization
Contact information
Practice address
13903 LONE TREE ST, SAN ANTONIO, TX 78247-3834
(210) 687-4214
Mailing address
13903 LONE TREE ST, SAN ANTONIO, TX 78247-3834
(210) 687-4214
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/16/2024
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