MR. Mario David Mata, LSA

NPI #1336494699 in Rosharon, Texas

Provider Information

NPI Number
1336494699
Entity Type
Individual
Name
MR. Mario David Mata, LSA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
LSA
Enumeration Date
Jul 23, 2012
Last Updated
Aug 10, 2020

Practice Location

Address
14110 HARTFORD HEIGHTS WAY
State
Texas
ZIP Code
77583
Phone
(713) 315-1519

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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