Individual
EDITH ISEL MATA-VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 N GARLAND AVE, GARLAND, TX 75040-8502
(972) 495-7000
Mailing address
2027 LEATH ST, DALLAS, TX 75212-1743
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2132361
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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