person
Mrs. Cristina Mata Rodriguez, PA-C
Medical Physician Assistant in Fort Worth, Texas
NPI 1619492964

Cristina Mata Rodriguez is a Medical Physician Assistant based in Mcallen, TX and is specialized in Medical. Cristina Mata Rodriguez practices in Fort Worth, TX and has the professional credentials of PA-C. The NPI Number for Cristina Mata Rodriguez is 1619492964 and holds a License No. PA11311 (Texas).

The current practice location address for Cristina Mata Rodriguez is 4115 E Lancaster Ave, Fort Worth, TX and can be reached out via phone at 817-796-7370.

Location: 4115 E Lancaster Ave, Fort Worth, TX, 78502-4449
person
Provider Profile Details
NPI Number
1619492964
Provider Name
Cristina Mata Rodriguez
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4115 E Lancaster Ave, Fort Worth, TX, 78502-4449
Phone Number
817-796-7370
Fax Number
Provider Enumeration Date
08/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA11311 01 TX TEXAS MEDICAL BOARD LICENSE
institution
Provider Business Practice Location Address Details
Address
4115 E Lancaster Ave
City
State
Zip
76103-3614
Phone Number
817-796-7370
Fax Number
person
Provider Business Mailing Address Details
Address
4115 E Lancaster Ave
City
State
Zip
76103-3614
Phone Number
817-796-7370
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA11311 (Texas)
Definition
Definition to come...
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