Individual provider · Type 1 NPI

Justina Renee Mateen, PA-C

Medical Physician Assistant · Fort Hood, TX

NPI number 1124165733 Active

Practice location

36000 Darnall Loop
Fort Hood, TX 76544-5095

Mailing address

224 Nolan Ridge Dr
Nolanville, TX 76559-4639

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1124165733

Justina Renee Mateen, PA-C's National Provider Identifier is 1124165733, issued on Jan 31, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Hood, TX. The record was last updated on Jul 8, 2007.