Organization
MATA PHYSICAL THERAPY CLINIC
Active
Organization
MATA PHYSICAL THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH C MATA (OFFICE MANAGER)
(956) 686-4646
Entity
Organization
Contact information
Practice address
5210 N 10TH ST, MCALLEN, TX 78504-2701
(956) 686-4646
Mailing address
PO BOX 720267, MCALLEN, TX 78504-0267
(956) 686-4646
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1023703
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087748201
—
TX
Enumeration date
04/26/2007
Last updated
10/03/2008
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