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Individual
RAFAEL JACINTO MENDOZA-PRADO
Active
Individual
RAFAEL JACINTO MENDOZA-PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
V3910
TX
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
SA000718
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00718
TEXAS MEDKCAL BOARD LICENSE
TX
Enumeration date
10/27/2016
Last updated
10/01/2025
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