MDM Assisting LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

MDM ASSISTING LLC

Practice address

14110 Hartford Heights Way
Rosharon, TX 77583

Phone

(713) 315-1519

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Mario David Mata, LSANPI 1336494699

Title

Manager

Phone

(713) 315-1519

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario David Mata, LSA

  • Surgical Assistant
  • Houston, TX
  • NPI 1336494699
  NPD Authorized official

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1124634480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 HARTFORD HEIGHTS WAY",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "77583",
            "telephone_number": "713-315-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14110 HARTFORD HEIGHTS WAY",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "77583",
            "telephone_number": "713-315-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDM ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-315-1519",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy D McCarty-Nash, LMFT
• Darlene McConathy, D.D.S.
• April McCoy-Henderson
• Monique McCurry
• Shelley McKenzie
• Miles Healthcare Services, LLC Dba the Purity at Bethals Living
• Carlessia Miles
• Patricia Ann Mims, APRN FNP-BC
• Leatta Ann Mitchell, LCSW
• Brianna Moore

• Surgical Physician Assistant in Rosharon, TX
• Providers in Rosharon, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.