Mr Mario David Mata, LSA - Physician Assistant in Rosharon, TX

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.

Contact Information

Mr Mario David Mata, LSA
14110 Hartford Heights Way,
Rosharon, TX 77583
(713) 315-1519
Not Available

Map and Direction




Provider's Profile

Full NameMr Mario David Mata
GenderMale
SpecialityPhysician Assistant - Surgical
Location14110 Hartford Heights Way, Rosharon, Texas
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1336494699NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician 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 AddressPractice 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


Physician Assistant Nurses in Rosharon, TX

Selena Nolte, PA-C
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Phone: 515-777-8310    
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Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 15030 Highway 6, Rosharon, TX 77583
Phone: 832-595-7717    

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