Individual
MR. ISAIAS MATA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7877 WILLOW CHASE BLVD, HOUSTON, TX 77070-5934
(832) 869-4818
(832) 241-2902
Mailing address
2717 MICHAEL ANGELO, EDINBURG, TX 78539-1403
(956) 217-7000
(956) 682-1960
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA03404
TEXAS LICENSE
TX
Enumeration date
11/16/2007
Last updated
05/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us