Organization
MDM ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO DAVID MATA LSA (MANAGER)
(713) 315-1519
Entity
Organization
Contact information
Practice address
14110 HARTFORD HEIGHTS WAY, ROSHARON, TX 77583
(713) 315-1519
Mailing address
14110 HARTFORD HEIGHTS WAY, ROSHARON, TX 77583
(713) 315-1519
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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