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NPI Code Detail

MEDICARE: HUGO CESAR MATA PT, DPT

MEDICARE: HUGO CESAR MATA PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1337219TX

General Provider Information

NPI Number : 1457964561
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUGO CESAR MATA PT, DPT
Provider Business Mailing Address
First Line : 6986 LOS ARBOLES
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78521-6276
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 413 E RAILROAD AVE # A
Second Line :
City : PORT ISABEL
State : TX
Zip : 78578-4133
Country : US
Telephone Number : 956-443-3844
Fax Number : 956-815-2019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2020
Last Update Date : 08/28/2020

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Directions to “ HUGO CESAR MATA PT, DPT” Practice Location

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