Individual
DR. JESUS MANUEL MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
718 LEXINGTON AVE STE 102, SAN ANTONIO, TX 78212-4790
(210) 420-8671
(210) 899-1958
Mailing address
718 LEXINGTON AVE.,, SUITE 102, SAN ANTONIO, TX 78212-1204
(210) 420-8671
(210) 899-1958
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
P1105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343603205
—
TX
Enumeration date
10/10/2007
Last updated
06/20/2024
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