Individual
ISRAEL MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 E POLK AVE, PHARR, TX 78577-3110
(956) 781-6591
(956) 702-0185
Mailing address
105 E POLK AVE, PHARR, TX 78577-3110
(956) 781-6591
(956) 702-0185
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J2456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121107001
—
TX
05
—
121107003
—
TX
05
—
121107006
—
TX
Enumeration date
07/19/2005
Last updated
05/14/2017
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