Search › Texas › 363LA2100X
Thelicia Mata, APRN-CNP
NPI 1063391845 · on the registry since 2025
Practice
- Address
- 4502 Medical Dr
San Antonio, TX 78229 - Phone
- (210) 743-0670
- Fax
- (210) 567-4659
- Organisation at this address
- Apollo Medflight, Llc
University Health System
Rocky Mountain Holdings, Llc
Bexar County Hospital District
Bexar County Hospital DistrictInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,734
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LG0600X
363L00000X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas