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NIKOLAS MENDRYGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7777 FOREST LANE, DALLAS, TX 75230
(972) 248-3017
Mailing address
12221 MERIT DRIVE, STE 1610, DALLAS, TX 75251
(214) 217-1911
(214) 217-1912

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M3017
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184396301
TX
05
184396302
TX
01
8V3528
BCBS
TX
01
P00386322
RAILROAD
TX
Enumeration date
06/14/2006
Last updated
07/01/2014
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