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Individual
ERIC N MENDELOFF
Active
Individual
ERIC N MENDELOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
L7810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064120B
—
OK
05
—
1196107
—
TX
01
—
8X5490
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/10/2005
Last updated
08/15/2008
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