Individual
JASON MATA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 BUENA VISTA ST, SAN ANTONIO, TX 78207-3801
(210) 212-7700
(210) 212-7700
Mailing address
1600 BUENA VISTA ST, SAN ANTONIO, TX 78207-3801
(210) 212-7700
(210) 212-7700
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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