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Mr. Isaias Mata JR., PA
Medical Physician Assistant in Houston, Texas
NPI 1780865857

Isaias Mata JR. is a Medical Physician Assistant based in Edinburg, TX and is specialized in Medical. Isaias Mata JR. practices in Houston, TX and has the professional credentials of PA. The NPI Number for Isaias Mata JR. is 1780865857 and holds a License No. PA03404 (Texas).

The current practice location address for Isaias Mata JR. is 7877 Willow Chase Blvd, Houston, TX and can be reached out via phone at 832-869-4818 and via fax at 832-241-2902.

Location: 7877 Willow Chase Blvd, Houston, TX, 78539-1403
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Provider Profile Details
NPI Number
1780865857
Provider Name
Isaias Mata JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
7877 Willow Chase Blvd, Houston, TX, 78539-1403
Phone Number
832-869-4818
Fax Number
832-241-2902
Provider Enumeration Date
11/16/2007
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA03404 01 TX TEXAS LICENSE
institution
Provider Business Practice Location Address Details
Address
7877 Willow Chase Blvd
City
State
Zip
77070-5934
Phone Number
832-869-4818
Fax Number
832-241-2902
person
Provider Business Mailing Address Details
Address
7877 Willow Chase Blvd
City
State
Zip
77070-5934
Phone Number
832-869-4818
Fax Number
832-241-2902
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA03404 (Texas)
Definition
Definition to come...
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