Individual
MAT PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
901 MAPLE ST, UVALDE, TX 78801-5407
(619) 952-2361
Mailing address
901 MAPLE ST, UVALDE, TX 78801-5407
(619) 952-2361
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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