Search › Texas › 164X00000X
Susana Matala
NPI 1013508118 · on the registry since 2021
Practice
- Address
- 4800 San Remo Dr
Mansfield, TX 76063 - Phone
- (813) 263-8943
- Organisation at this address
- Integration Group Home Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas