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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ISRAEL MATA, M.D.

Deactivated Sole Proprietor

ISRAEL MATA, M.D. is a Pediatrics healthcare provider located in PHARR, Texas. NPI 1881693018 is deactivated in the NPPES registry. Verify at CMS.

Pediatrics · PHARR, TX

This NPI has been deactivated. The record was deactivated on March 20, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1881693018
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2005 (0.66849315068493 yrs)
Last Updated
May 14, 2017
Deactivated
Mar 20, 2006
License
J2456 (TX)
Sole Proprietor
Yes

Practice Information

Address
105 E POLK AVE
PHARR, TX, 785773110
Browse TX providers · Browse ZIP 78577
Phone
9567816591
Fax
9567020185
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in PHARR, TX

Name Credential NPI
DR. JUAN A AGUILERA M.D. 1427053099
DR. DENISE P UCHOA M.D. 1427053982
DR. ANITA D'SA M.D. 1215932769
DR. PETER DY M.D. 1922003474
DR. MARIA JIMENEZ M.D. 1538164082
DR. MYO CHET M.D. 1700881380
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.