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Contact Information

JASON MATA SR
1600 BUENA VISTA ST
SAN ANTONIO, TX78207-3801
 Phone: 210-212-7700
 Fax: 210-212-7700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JASON MATA SR · (Male)

NPI Number 1841650934
Status Active
Credentials
Entity Individual
Enumeration date 03/02/2016
Last updated 03/02/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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