ISRAEL MATA (NPI# 1881693018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881693018 |
| Entity Type | Individual |
| Full Name | ISRAEL MATA |
| Credential | M.D. |
| Practice Address |
105 E Polk Ave Pharr TX 78577-3110 |
| Practice Telephone | 9567816591 |
| Practice Fax Number | 9567020185 |
| Mailing Telephone | 9567816591 |
| Mailing Fax Number | 9567020185 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2017-05-14 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | J2456 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 121107001 | 05 | |
| TX | 121107003 | 05 | |
| TX | 121107006 | 05 |
| Street Address |
105 E POLK AVE |
| City | PHARR |
| State | TX |
| Zip Code | 78577-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073695441 | Pharr Pediatric Clinic, Pa | Pediatrics | 105 E Polk Ave, Pharr, TX 78577-3110 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019875 | Faith Home Care, Inc | Home Health | 200 East Expressway 83 Ste. O, Pharr, TX 78577 | 2020-10-05 |
| 1720613276 | Dalin Sok I | Occupational Therapy Assistant | Aveanna Healthcare 508 W Interstate 2 Suite 3, Pharr, TX 78577 | 2020-03-05 |
| 1205303799 | Cristina Marie Bocanegra | Physical Therapist | 508 Expressway 83 Suite 3, Pharr, TX 78577 | 2018-11-01 |
| 1578030508 | Dulce Amor Y Paz Primary Home Care, LLC | In Home Supportive Care | 607 W Interstate Ste B, Pharr, TX 78577 | 2018-10-29 |
| 1851866412 | Dinma Care Pharmacy Durable Medical Equipment (dme) Services LLC | Durable Medical Equipment & Medical Supplies | 832 Del Oro Lane, Suite # 1, Pharr, TX 78577 | 2018-10-10 |
| 1144705393 | Hiram Duran | Occupational Therapy Assistant | 902 E. Nolana Suite H&i, Pharr, TX 78577 | 2018-10-03 |
| 1093293144 | Claudia Garcia | Occupational Therapy Assistant | 912 E Nolana Loop Ste G, Pharr, TX 78577 | 2018-08-01 |
| 1013493592 | Roxanna Garza Gonzalez | Specialist/Technologist | 216 E Interstate 2 Suite K, Pharr, TX 78577 | 2018-07-17 |
| 1376037754 | Roxana Saenz | Speech-Language Pathologist | 508 W Expy 83, Suite 3, Pharr, TX 78577 | 2018-06-19 |
| 1912414160 | Michael Jeremy Hoskins | Physical Therapist | 508 West Expressway 83 Suite 3, Pharr, TX 78577 | 2018-01-09 |
| Find all providers in zip 78577 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073892071 | Marco A Lopez | Pediatrics | 1402 E Nolana Loop Suite A, Pharr, TX 78577 | 2011-08-08 |
| 1952526626 | Antonio Esparza, M.d., P.a. | Pediatrics | 900 W Sam Houston, Suite1, Pharr, TX 78577-5217 | 2007-04-16 |
| 1235354507 | Sergio G. Preciado, M.d., P.a. | Pediatrics | 832 Del Oro, Suite 2, Pharr, TX 78577-2200 | 2007-04-13 |
| 1750396628 | Peter L Dy Md Pa | Pediatrics | 806 S Cage Blvd Ste B, Pharr, TX 78577-5961 | 2006-07-29 |
| 1336199694 | Sergio Gustavo Preciado | Pediatrics | 832 Del Oro Ln, Suite 2, Pharr, TX 78577-2200 | 2006-05-10 |
| 1982661518 | Antonio Esparza | Pediatrics | 900 W Sam Houston St, Suite 1, Pharr, TX 78577-5217 | 2006-04-27 |
| 1922003474 | Peter Dy | Pediatrics | 806 S Cage Blvd, Suite B, Pharr, TX 78577-5960 | 2005-06-20 |
| 1427053099 | Juan A Aguilera | Pediatrics | 807 N Cage Blvd, Pharr, TX 78577-3117 | 2005-06-20 |
| 1881990810 | Pharr Family Day and Night Clinic | Pediatrics | 807 N Cage Blvd, Pharr, TX 78577-3117 | 2011-02-09 |
| 1578869921 | Las Milpas Pediatric Clinic | Pediatrics | 125 E Las Milpas Rd, Pharr, TX 78577-9863 | 2011-02-02 |
| Find all providers in PHARR | ||||
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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.