Clinicas Sin Fronteras Fort Worth Inc
NPI 1548951718ActiveOrganization· Nurse Practitioner· Fort Worth, TX
Nurse Practitioner in Fort Worth, Texas, registered in NPPES in May 2023. The authorized official on file is Gonzalo Mata, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548951718 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2023 |
| Last updated in NPPES | May 18, 2023 |
| Certified by provider | May 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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