Individual
HEATHER MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
431 E STATE HIGHWAY 114 FL 1, SOUTHLAKE, TX 76092-4412
(844) 824-8775
Mailing address
431 E STATE HWY 114 1ST FLOOR, SOUTHLAKE, TX 76092
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1107935
TX
Other
Enumeration date
01/19/2023
Last updated
03/02/2023
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