Individual
LUIS ABRAHAM MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
1111 HAWKINS BLVD STE 2A, EL PASO, TX 79925-6400
(915) 771-8346
(915) 771-8347
Mailing address
1111 HAWKINS BLVD STE 2A, EL PASO, TX 79925-6400
(915) 771-8346
(915) 771-8347
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10040259
TX
2086S0129X
Vascular Surgery Physician
140604
FL
2086S0129X
Vascular Surgery Physician
Primary
R9252
TX
Other
Enumeration date
05/26/2011
Last updated
11/26/2024
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