IndividualActive
Brennan Mattingly, IDMT
NPI 1821825407 · Independent Duty Medical Technicians · San Antonio, TX
Provider details
- NPI number
- 1821825407
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
- License
- 1710I1003X
Specialties & taxonomies
Other Service Providers
Practice location
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone: (210) 916-8613
Approximate (ZIP-level) locationGet directions
Mailing address
6421 W Kristal Way
Glendale, AZ 85308-7130
Registry dates
- Enumerated
- 2024-09-17
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.