Matos, Jesus Manuel

Matos, Jesus Manuel is an individual health care provider with primary practice located at 718 Lexington Ave Ste 102 , San Antonio TX 78212-4790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Matos, Jesus Manuel can be contacted via phone (210) 420-8671.

Contact Information

Primary practice address
718 Lexington Ave Ste 102 San Antonio TX 78212-4790
Phone: (210) 420-8671
Fax: (210) 899-1958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X P1105 Texas

Profile Details

NPI number 1568650091
LBN Legal business name Matos, Jesus Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2007
Last updated Jun 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568650091 NPPES
Texas MEDICAID 343603205

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