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Organization
ROGELIO D MENDOZA MD PA
Active
Organization
ROGELIO D MENDOZA MD PA
Active
Other names
FANNETT MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGELIO DUNGO MENDOZA MD (MEDICAL DIRECTOR)
(409) 794-2314
Entity
Organization
Contact information
Practice address
15321 HIGHWAY 124, BEAUMONT, TX 77705-9127
(409) 794-2314
(409) 794-1348
Mailing address
15321 HIGHWAY 124, BEAUMONT, TX 77705-9127
(409) 794-2314
(409) 794-1348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F2352
TX
Other
Enumeration date
12/27/2006
Last updated
01/09/2008
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