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Organization
MENDIVIL CLINIC FOR FOOT & ANKLE
Active
Organization
MENDIVIL CLINIC FOR FOOT & ANKLE
Active
Other names
Mendivil Clinic for Foot and Ankle Surgery and Regenerative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MENDIVIL DPM (OWNER)
(915) 309-0513
Entity
Organization
Contact information
Practice address
11680 MONTANA AVE STE C200, EL PASO, TX 79936-1461
(915) 206-5044
(915) 519-4671
Mailing address
12339 CHIANTI DR, EL PASO, TX 79928-8644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
NULL
2086S0102X
Surgical Critical Care Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/22/2023
Last updated
02/27/2026
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