Luis Alberto Mata, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP130908 Issued in TX

Legal business name

LUIS ALBERTO MATA, PLLC

Practice address

2118 E Griffin Pkwy
Mission, TX 78572-3225

Phone

(956) 581-2764

Fax

(956) 581-9962

NPI assigned

Nov 22, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Luis Alberto Mata, FNP-C

Title

President

Phone

(956) 581-2764

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1093258170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723225",
            "telephone_number": "956-581-2764",
            "fax_number": "956-581-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723225",
            "telephone_number": "956-581-2764",
            "fax_number": "956-581-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS ALBERTO MATA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-581-2764",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP130908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Aaron Loya, FNP-BC
• Loyalty Health Care Inc
• Janeth Luevanos
• Kristina Marie Lugo
• Luikham Dental PLLC
• Luis E Ferrufino MD PLLC
• Luis F Arango MD PA
• Luis P. Bay MD
• Luna Family Medical, PLLC
• M & G Primary Home Care, Inc.

• Family Medicine Physician in Mission, TX
• Providers in Mission, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.