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NPI Verification

National Provider Identifier: 1750309001

John Alexander Mata, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

1501 KINGS HWY

DEPARTMENT OF UROLOGY

SHREVEPORT, LA 711034228

Phone: 318-813-2750

NPI Enumeration Date

July 17, 2006

NPI Number

1750309001

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry