| Luis Alberto Mata, Pllc | |
|
2118 E Griffin Pkwy Mission TX 78572-3225 | |
| (956) 581-2764 | |
| (956) 581-9962 |
| Full Name | Luis Alberto Mata, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2118 E Griffin Pkwy, Mission, Texas |
| Authorized Official Name and Position | Luis Alberto Mata (PRESIDENT) |
| Authorized Official Contact | 9565812764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Alberto Mata, Pllc 2118 E Griffin Pkwy Mission TX 78572-3225 Ph: (956) 581-2764 | Luis Alberto Mata, Pllc 2118 E Griffin Pkwy Mission TX 78572-3225 Ph: (956) 581-2764 |
| NPI Number | 1093258170 |
|---|---|
| Provider Enumeration Date | 11/22/2016 |
| Last Update Date | 11/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093258170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AP130908 (Texas) | Primary |
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