Thelicia Mata is one of 1,633 nurse practitioners practicing in San Antonio, Texas .
Thelicia Mata practices with University Of Texas Health Science Center At San Antonio.
Registry record (NPPES)
NPI
1063391845
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Address on file
4502 Medical Dr
Enumerated
Aug 27, 2025
Record last updated
Nov 4, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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