# LUIS ABRAHAM MATA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861785503
- **Gender:** Man
- **Credential:** M.D,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | BP10040259 | TX | — |
| 2086S0129X | Vascular Surgery Physician | 140604 | FL | — |
| 2086S0129X | Vascular Surgery Physician | R9252 | TX | Yes |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 11/26/2024