Mr Mario David Mata, LSA | |
14110 Hartford Heights Way, Rosharon, TX 77583 | |
(713) 315-1519 | |
Not Available |
Full Name | Mr Mario David Mata |
---|---|
Gender | Male |
Speciality | Physician Assistant - Surgical |
Location | 14110 Hartford Heights Way, Rosharon, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336494699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AS0400X | Physician Assistant - Surgical | SA00462 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Mario David Mata, LSA 14110 Hartford Heights Way, Rosharon, TX 77583 Ph: (713) 315-1519 | Mr Mario David Mata, LSA 14110 Hartford Heights Way, Rosharon, TX 77583 Ph: (713) 315-1519 |
Selena Nolte, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4906 Alaina Dr, Rosharon, TX 77583 Phone: 515-777-8310 | |
Deepak Raj Paudel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15030 Highway 6, Rosharon, TX 77583 Phone: 832-595-7717 |