Jason Mata SR.
NPI #1841650934 in San Antonio, Texas
Provider Information
- NPI Number
- 1841650934
- Entity Type
- Individual
- Name
- Jason Mata SR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Exercise & Sports
- Enumeration Date
- Mar 2, 2016
- Last Updated
- Mar 2, 2016
Practice Location
- Address
- 1600 BUENA VISTA ST
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78207-3801
- Phone
- (210) 212-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Exercise & Sports — Exercise & Sports |
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