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Individual
MARIA MINERVA MENDEZ
Active
Individual
MARIA MINERVA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
606741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154835604
WELLMED MEDICAID
TX
01
—
TXB156242
WELLMED MEDICARE
TX
Enumeration date
07/07/2005
Last updated
10/18/2016
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