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Individual

JARRET MATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, APRN, CRNA

Contact information

Practice address
971 SHELBY LANE, LEWISVILLE, TX 75056
(469) 231-4320
Mailing address
971 SHELBY LN, LEWISVILLE, TX 75056-3937
(469) 231-4320

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
138803
TX

Other

Enumeration date
10/26/2022
Last updated
10/26/2022
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