Mariel Mata, OD

NPI 1023847316 · on the registry since 2024

Practice

Address: 5832 Boat Club Rd
Fort Worth, TX 76179
Phone: (817) 237-7153
Fax: (817) 595-6540
Organisation at this address: Med Southwest, Pllc
Eagle Mountain Family Eye Care, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-09-23

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