John Alexander Mata in Shreveport - Urology
John Alexander Mata - NPI 1750309001
John Alexander Mata is a Urology in Shreveport, Louisiana. John Alexander Mata practices all healthcare services and medical treatments related to Urology. The NPI Number for John Alexander Mata is 1750309001. The last update date is 2009-08-20.
John Alexander Mata's current location address is 1501 Kings Hwy, Shreveport, Louisiana. You can contact this provider via phone number 3188132750 and fax number 3188132755. The mailing address for John Alexander Mata is 1501 Kings Hwy, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Alexander Mata |
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Address | 1501 Kings Hwy, Shreveport, Louisiana |
Phone Number | 3188132750 |
Fax Number | 3188132755 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1750309001 |
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Provider Enumeration Date | 2006-07-17 |
Last Updated Date | 2009-08-20 |
Provider Mailing Address Detail
Address | 1501 Kings Hwy |
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City | Shreveport |
State | Louisiana (LA) |
Post Code | 711034228 |
Phone Number | 3188132750 |
Fax Number | 3188132755 |
Provider's Primary Taxonomy Detail
Speciality | Urology |
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Taxonomy | 208800000X |
Licence No | 07036R |
Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1359629 | LA | -- |
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What is the unique 10-digit identifier code issued to John Alexander Mata by the Centers for Medicare & Medicaid Services?
The John Alexander Mata has been assigned the NPI (National Provider Identifier) 1750309001 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John Alexander Mata is physically located?
The John Alexander Mata is physically situated at the following address: 1501 Kings Hwy, Shreveport, LA, 711034228.
What is John Alexander Mata's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Alexander Mata's area of specialization is Urology, and the corresponding taxonomy code that categorizes this field of practice is 208800000X.
On what date did John Alexander Mata receive its 1750309001 assignment from the Centers for Medicare & Medicaid Services?
The John Alexander Mata was assigned its 1750309001 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding John Alexander Mata, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Alexander Mata, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-20.
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