Mata, Juan C
Mata, Juan C is an sole proprietor health care provider with primary practice located at 5210 N 10Th St , Mcallen TX 78504-2701. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mata, Juan C can be contacted via phone (956) 686-4646.Contact Information
Primary practice address
5210 N 10Th St
Mcallen TX 78504-2701
Phone: (956) 686-4646
Fax: (956) 631-7024
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1023703 | Texas |
Profile Details
NPI number | 1902948185 |
---|---|
LBN Legal business name | Mata, Juan C |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 13th, 2007 |
Last updated | Oct 3rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902948185 | NPPES |
Texas | MEDICAID | 0877482-01 |
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