person
David Guadalupe Mata JR., ANP
Adult Health Nurse Practitioner in San Antonio, Texas
NPI 1790129815

David Guadalupe Mata JR. is an Adult Health Nurse Practitioner based in San Antonio, TX and is specialized in Adult Health. David Guadalupe Mata JR. practices in San Antonio, TX and has the professional credentials of ANP. The NPI Number for David Guadalupe Mata JR. is 1790129815 and holds a License No. 619179 (Texas).

The current practice location address for David Guadalupe Mata JR. is 18707 Hardy Oak Blvd Ste 530, San Antonio, TX and can be reached out via phone at 210-495-8280 and via fax at 210-481-3116.

Location: 18707 Hardy Oak Blvd Ste 530, San Antonio, TX, 78250-6511
person
Provider Profile Details
NPI Number
1790129815
Provider Name
David Guadalupe Mata JR.
Credential
ANP
Provider Entity Type
Individual
Gender
Male
Address
18707 Hardy Oak Blvd Ste 530, San Antonio, TX, 78250-6511
Phone Number
210-495-8280
Fax Number
210-481-3116
Provider Enumeration Date
04/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18707 Hardy Oak Blvd Ste 530
City
State
Zip
78258-4791
Phone Number
210-495-8280
Fax Number
210-481-3116
person
Provider Business Mailing Address Details
Address
18707 Hardy Oak Blvd Ste 530
City
State
Zip
78258-4791
Phone Number
210-495-8280
Fax Number
210-481-3116
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
619179 (Texas)
Definition
Definition to come...
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