DAVID GUADALUPE MATA JR. (NPI# 1790129815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790129815 |
| Entity Type | Individual |
| Full Name | DAVID GUADALUPE MATA JR. |
| Credential | ANP |
| Practice Address |
7913 Bandera Rd San Antonio TX 78250-6511 |
| Practice Telephone | 2106989863 |
| Mailing Telephone | 2106989841 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2018-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
619179 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 302 S. 5th Street, Carrizo Springs, TX 78834 | 8308769458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841268703 | David Joesph Mata | Family Medicine | 255 N Gilbert St, Bldg B Ste A, Hemet, CA 92543-4066 | 2006-03-08 |
| Street Address |
7913 BANDERA RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78250-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881692937 | Armando Antonio Sanchez | Family Medicine | 7913 Bandera Rd, San Antonio, TX 78250-6511 | 2005-07-12 |
| 1972080943 | Valerie Marie Sanchez | Registered Nurse | 7913 Bandera Rd, San Antonio, TX 78250-6511 | 2018-07-23 |
| 1255778809 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 7913 Bandera Rd, San Antonio, TX 78250-6511 | 2013-05-22 |
| 1245523695 | Hsin-yi Wang | Family Medicine | 7913 Bandera Rd, San Antonio, TX 78250-6511 | 2011-05-18 |
| 1801988928 | Teofilo Resendiz Sanchez IIi | Family Medicine | 7913 Bandera Rd, San Antonio, TX 78250-6511 | 2006-09-28 |
| 1952309114 | Clayton Louis Pullin | Family Medicine | 7913 Bandera Rd, San Antonio, TX 78250-6511 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504715 | Veronica Jolene Crenwelge | Licensed Vocational Nurse | 8218 Timber Grand, San Antonio, TX 78250 | 2020-09-25 |
| 1285299529 | Brenda Fernandez | Acupuncturist | 7623 Tezel Road, San Antonio, TX 78250 | 2019-05-02 |
| 1255855250 | Katie Elizabeth Hay | Pharmacist | 9255 Fm 471 W, San Antonio, TX 78250 | 2017-08-01 |
| 1093170086 | Urology Neuromonitoring, Pllc | Electrodiagnostic Medicine | 8407 Bandera Rd Ste 103-104, San Antonio, TX 78250 | 2015-12-18 |
| 1568843068 | Joseph Marvin Grote | Counselor | 8534 Timber Lodge, San Antonio, TX 78250 | 2015-06-11 |
| 1568801157 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10715 Bandera Rd, San Antonio, TX 78250 | 2013-06-18 |
| 1619228947 | Urchna K. Morar | Optometrist | 9310 Guilbeau Rd, San Antonio, TX 78250 | 2012-09-26 |
| 1952666448 | Ec Bandera, LLC | Clinic/Center | 8703 Bandera Road, San Antonio, TX 78250 | 2012-07-10 |
| 1447512769 | Krystal Alexis Moya | Dentist | 8142 Tezel Road, San Antonio, TX 78250 | 2012-06-12 |
| 1497037683 | Lozie Bios | Registered Nurse | 9207 Ridgewilde, San Antonio, TX 78250 | 2011-09-13 |
| Find all providers in zip 78250 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981066 | Gabriel David Alonso | Nurse Practitioner | 12554 Hillside Rnch, San Antonio, TX 78254-6266 | 2020-08-01 |
| 1811458094 | Kimberly Detherow | Nurse Practitioner | 126 Main Plz, San Antonio, TX 78205-2745 | 2019-03-28 |
| 1730685108 | Dimitra Denise Dunlap | Nurse Practitioner | 21827 Barton Woods, San Antonio, TX 78259-2350 | 2018-04-03 |
| 1780186601 | Melissa Ortiz | Nurse Practitioner | 1205 N Loop 1604 W Ste 232, San Antonio, TX 78258-4631 | 2018-03-07 |
| 1659687333 | Robert Chuck Hunt | Nurse Practitioner | 2011 E Houston St Ste 101a, San Antonio, TX 78202-2916 | 2010-08-19 |
| 1124207733 | Diana Lynn Stansbury-bartolomeo | Nurse Practitioner | 1714 Sw Military Dr, San Antonio, TX 78221-1411 | 2007-10-31 |
| 1700912904 | Paula Frances Christianson-silva | Nurse Practitioner | 7703 Floyd Curl Dr Rm 1.422, San Antonio, TX 78229-3901 | 2007-02-24 |
| 1174503742 | Keith Leilan Morgan | Nurse Practitioner | 16302 Ross Oak St, San Antonio, TX 78247-1333 | 2006-01-19 |
| 1841849171 | Linda Esmeralda Gutierrez | Nurse Practitioner | 8401 Datapoint Dr Ste 300, San Antonio, TX 78229-5925 | 2019-09-09 |
| 1164980827 | Daniel Pizana | Nurse Practitioner | 7979 Wurzbach Rd, San Antonio, TX 78229-4427 | 2019-03-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78250 |
Please comment or provide details below to improve the information on DAVID GUADALUPE MATA JR..
| 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.