IndividualActive
Marvin Mata, M.D.
NPI 1124281852 · Pediatric Critical Care Medicine Physician · Lafayette, LA
Provider details
- NPI number
- 1124281852
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD203581 (LA)
Practice location
4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone: (337) 470-2605
Fax: (337) 470-4595
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2024-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.