Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mario David Mata, LSA

Individual provider Surgical Assistant · NPI 1336494699

Mr. Mario David Mata, LSA is a Surgical Assistant in Houston, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2012

Practice location Address checks out

7401 Main St
Houston, TX 77030-4509
Phone: (713) 799-2300
Fax: (833) 520-1440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14110 Hartford Heights Way, Rosharon, TX 77583 — (713) 315-1519

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00462 (TX)

Record details

NPI number1336494699
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorNo
NPI enumeratedJuly 23, 2012
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address14110 Hartford Heights Way, Rosharon, TX 77583-1978

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