Provider Demographics
NPI:1508371360
Name:MBP GENERAL CONTRACT SERVICES
Entity Type:Organization
Organization Name:MBP GENERAL CONTRACT SERVICES
Other - Org Name:JASON MATA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-535-4422
Mailing Address - Street 1:2925 W COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3719
Mailing Address - Country:US
Mailing Address - Phone:210-535-4422
Mailing Address - Fax:210-212-7700
Practice Address - Street 1:2925 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3719
Practice Address - Country:US
Practice Address - Phone:210-535-4422
Practice Address - Fax:210-212-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-02
Last Update Date:2017-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXHR927847171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty