MR. JULIO MATA DOMINGUEZ (NPI# 1538724224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538724224 |
| Entity Type | Individual |
| Full Name | MR. JULIO MATA DOMINGUEZ |
| Credential | LCDC I |
| Practice Address |
700 S. Zarzamora, Ste 209 San Antonio TX 78207-5248 |
| Practice Telephone | 2108229493 |
| Mailing Telephone | 2108229493 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
40786 | TX | Behavioral Health & Social Service Providers |
| Street Address |
700 S. ZARZAMORA, STE 209 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78207-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
| 1669036869 | Anjali Patel | Student in an Organized Health Care Education/Training Program | 903 W. Martin Street, San Antonio, TX 78207 | 2019-04-24 |
| 1811488257 | Thomas Ellis Tippit Sr. | Dentist | 711 North Frio St, San Antonio, TX 78207 | 2018-05-22 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
| 1053785683 | Lisa Marie Ramos | Speech-Language Pathologist | 230 Rounds, San Antonio, TX 78207 | 2015-11-19 |
| 1568840221 | Gabriel Tamayo | Physical Therapist | 701 S Zarzarmora, San Antonio, TX 78207 | 2015-05-14 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1437545837 | Jesse Banales | Student in an Organized Health Care Education/Training Program | 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 | 2015-04-13 |
| Find all providers in zip 78207 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738311 | Jade Hodges | Counselor | 1402 Brook Run, San Antonio, TX 78232-5133 | 2020-10-20 |
| 1821696063 | Brent Crowson | Counselor | 23602 Enchanted Path, San Antonio, TX 78260-4323 | 2020-10-10 |
| 1730787961 | Alexander W Casserly | Counselor | 3442 Wellsprings Dr, San Antonio, TX 78230-2512 | 2020-10-09 |
| 1578170270 | Magno Solutions LLC | Counselor | 10422 Castello Cyn, San Antonio, TX 78254-4644 | 2020-09-26 |
| 1073120184 | Stacie Dziuk | Counselor | 12139 Bowie Ml, San Antonio, TX 78253-5879 | 2020-09-23 |
| 1508471293 | Sandra Jean Bar-yadin | Counselor | 12000 Network Blvd Ste 300, San Antonio, TX 78249-3344 | 2020-09-10 |
| 1316551039 | Mateo David Ayala, Texas Counseling | Counselor | 9818 Village Briar, San Antonio, TX 78250-5718 | 2020-09-01 |
| 1841801412 | Ijeoma Chinwe Too-chiobi | Counselor | 11467 Huebner Rd, San Antonio, TX 78230-1595 | 2020-08-16 |
| 1851901516 | Kenny Garza | Counselor | 5000 Walzem Rd, San Antonio, TX 78218 | 2020-08-06 |
| 1851900468 | Vanessa Montemayor Perez | Counselor | 330 Pennystone Ave, San Antonio, TX 78223-1825 | 2020-07-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78207 |
Please comment or provide details below to improve the information on MR. JULIO MATA DOMINGUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.