Individual
BRENDA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E HOUSTON ST, BEEVILLE, TX 78102-5613
(361) 358-3737
(361) 358-4783
Mailing address
100 E HOUSTON ST, BEEVILLE, TX 78102-5613
(361) 358-3737
(361) 358-4783
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
161935
TX
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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