VERONICA TREJO MATA (NPI# 1366062242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366062242 |
| Entity Type | Individual |
| Full Name | VERONICA TREJO MATA |
| Other Name | PROF. VERONICA TREJO BLAKE |
| Credential | LVN |
| Practice Address |
305 N Collier St Grand Saline TX 75140-1403 |
| Practice Telephone | 9033684211 |
| Mailing Telephone | 9033684211 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084D0003X |
Psychiatry & Neurology Specialization: Diagnostic Neuroimaging |
9999999 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270718 | Veronica Mata | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2018-06-22 |
| 1104157486 | Veronica Mata | Counselor | 2716 Freedom Blvd, Watsonville, CA 95076-1027 | 2010-01-26 |
| Street Address |
305 N COLLIER ST |
| City | GRAND SALINE |
| State | TX |
| Zip Code | 75140-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427601814 | Inayah Healthcare LLC | Hospitalist | 707 N. Waldrip Street, Grand Saline, TX 75140 | 2019-07-24 |
| 1124508916 | Maryann Kimball Phillips | Occupational Therapy Assistant | 1638 Vx Cr 1803, Grand Saline, TX 75140 | 2018-08-21 |
| 1275023848 | Terri Melissa Wyrick | Licensed Vocational Nurse | 432 Vz Cr 1523, Grand Saline, TX 75140 | 2018-05-18 |
| 1255832788 | Austen Truett | Technician | 490 Van Zandt County Road 1226, Grand Saline, TX 75140 | 2018-02-21 |
| 1144661513 | Auus Healthcare Services LLC | Emergency Medicine | 707 N Waldrip Street, Grand Saline, TX 75140 | 2013-07-12 |
| 1790842714 | Ekklesia Healthcare, LLC | Skilled Nursing Facility | 411 Spring Creek Road, Grand Saline, TX 75140 | 2007-01-02 |
| 1568521094 | Pyramid Healthcare Corp | Skilled Nursing Facility | 411 Spring Creek, Grand Saline, TX 75140 | 2006-12-08 |
| 1598747503 | Ashfaque G Saya | Emergency Medicine | 735 N Waldrip St, Grand Saline, TX 75140 | 2005-11-16 |
| 1295216257 | Ricardo Llanes | Occupational Therapy Assistant | 1638 Vz Cr 1803, Grand Saline, TX 75140 | 2018-08-27 |
| 1003395732 | Ashley Nicole Williamson | Physical Therapy Assistant | 1638 Vz County Road 1803, Grand Saline, TX 75140 | 2018-08-13 |
| Find all providers in zip 75140 | ||||
| Taxonomy Code | 2084D0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Diagnostic Neuroimaging |
| A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
| Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881236644 | Polaris Eeg and Diagnostics | Psychiatry & Neurology | 6700 Woodlands Pkwy Ste 200, The Woodlands, TX 77382-2577 | 2019-10-14 |
| 1134659709 | Mission Diagnostics LLC | Psychiatry & Neurology | 24165 Ih-10 West Ste 217, Pmb #717, San Antonio, TX 78257-1160 | 2017-06-15 |
| 1164979142 | Texas Tech University Health Sciences Center Lubbock | Psychiatry & Neurology | 1008 Canton Ave, Room 018bf, Lubbock, TX 79409-3132 | 2016-09-07 |
| 1184924219 | Apogee Diagnostics, Pa | Psychiatry & Neurology | 12337 Jones Road, Suite 427, Houston, TX 77070 | 2010-10-22 |
| 1013554641 | Crown Diagnostics, LLC | Psychiatry & Neurology | 2918 San Jacinto St Ste 150, Houston, TX 77004-2708 | 2019-12-02 |
| 1083141691 | One Care Monitoring, LLC | Psychiatry & Neurology | 5080 Spectrum Dr Ste 1100e, Addison, TX 75001-4688 | 2017-05-12 |
| 1619114915 | Burket Businesses, LLC | Psychiatry & Neurology | 341 E Parkwood Ave, Friendswood, TX 77546-5147 | 2009-01-08 |
| 1104077031 | Family Psychiatry | Psychiatry & Neurology | 341 E Parkwood Ave, Friendswood, TX 77546-5147 | 2008-10-09 |
| 1225225568 | Lubbock Neurology, Pllc | Psychiatry & Neurology | 5120 29th Dr, Suite D, Lubbock, TX 79407-2612 | 2007-10-01 |
| City | GRAND SALINE |
| Zip Code | 75140 |
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| 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.