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Organization
LOUIE L. MENDIOLA MD, PA
Active
Organization
LOUIE L. MENDIOLA MD, PA
Active
Other names
Luis L Mendiola MD
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIE L MENDIOLA MD (MD)
(806) 826-3576
Entity
Organization
Contact information
Practice address
309 E 9TH, WHEELER, TX 79096
(806) 826-3576
(806) 826-5201
Mailing address
PO BOX 190, 309 E 9TH, WHEELER, TX 79096-0190
(806) 826-3576
(806) 826-5201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076QF
BC/BS
TX
01
—
DP8309
RAILROAD MEDICARE
TX
Enumeration date
09/26/2006
Last updated
03/12/2010
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