David Mata

NPI #1104654482 in Alice, Texas

Provider Information

NPI Number: 1104654482
Entity Type: Individual
Name: David Mata
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 26, 2024
Last Updated: Jul 26, 2024

Practice Location

Address: 1115 E MAIN ST
City: Alice
State: Texas
ZIP Code: 78332-5046
Phone: (361) 664-1344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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