Mr Mario David Mata, LSA is a
Physician Assistant - Surgical based in Rosharon, Texas. Mr Mario David Mata is licensed to practice in Texas (license number SA00462) and his current practice location is
14110 Hartford Heights Way, Rosharon, Texas. He can be reached at his office (for appointments etc.) via phone at
(713) 315-1519.
NPI number for Mr Mario David Mata is 1336494699 and his current mailing address is 14110 Hartford Heights Way, Rosharon, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336494699.
Provider's Profile
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. |
NPI Data:
- NPI Number: 1336494699
- Provider Enumeration Date: 07/23/2012
- Last Update Date: 08/10/2020
Medical Identifiers
Medical identifiers for Mr Mario David Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336494699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | SA00462 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mario David Mata is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
Reviews and Comments