Individual
DR. ESPIRIDION REY MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
217 W MAIN ST STE 110, GRAND PRAIRIE, TX 75050-5648
(814) 323-5744
(814) 295-5952
Mailing address
1309 LUVERNE DR, WYLIE, TX 75098-8607
(814) 323-5744
(814) 295-5952
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
S8077
TX
208D00000X
General Practice Physician
Primary
S8077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6593
MEDICAL LICENSE
CO
01
—
S8077
TEXAS MEDICAL LICENSE
TX
Enumeration date
09/20/2007
Last updated
03/07/2023
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