Kane Benjamin Mata

Physician Assistant · Killeen, TX

Individual Active NPI

NPI number 1295345304

Practice location

2201 Clear Creek Rd
Killeen, TX 76549-4110
Phone
(254) 526-7523

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NPI record

NPI
1295345304
Entity type
Individual (Type 1)
Enumeration date
August 4, 2020
Last updated
September 14, 2021
Certified
September 14, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

1007 Wagner Ave
San Antonio, TX 78211-3131
Phone
(210) 776-9311

About Kane Mata

Kane Benjamin Mata is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2201 Clear Creek Rd, Killeen, TX 76549-4110. The NPI number 1295345304 was assigned on August 4, 2020 and the record was last updated on September 14, 2021.

Frequently asked questions

What is the NPI number of Kane Benjamin Mata?

The NPI number is 1295345304.

What is the phone number of Kane Mata?

The phone number listed for the practice location is (254) 526-7523.

Where is Kane Mata located?

2201 Clear Creek Rd, Killeen, TX 76549-4110.

What is the taxonomy code for Kane Mata?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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