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

Individual provider Acute Care Nurse Practitioner · NPI 1063391845

Thelicia Mata, APRN-CNP is a Nurse Practitioner in San Antonio, Texas. Qualified in 2025, 1 year ago. Practices with University of Texas Health Science Center at San Antonio, a 1,295-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 743-0670
Fax: (210) 567-4659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1210733 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 1210733 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1210733 (TX)

Record details

NPI number1063391845
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedAugust 27, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Of Texas Health Science Center At San Antonio — 1295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Antonio