# MEND PHYSICIAN SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417630401
- **Authorized official:** MICHELE LEE MCMULLEN (DIRECTOR REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (917) 336-7808

## Contact information

- **Practice address:** 2025 GUADALUPE ST STE 260, AUSTIN, TX 78705-5642
- **Practice address phone:** (917) 382-0243
- **Mailing address:** PO BOX 96239, PHOENIX, AZ 85072-6239
- **Mailing address phone:** (917) 382-0243
- **Mailing address fax:** (315) 273-0243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2023
- **Last updated:** 07/01/2026