Organization
MENDEZ MEDICAL CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESPIRIDION MENDEZ MPAS, PA-C (VICE PRESIDENT)
(512) 595-3045
Entity
Organization
Contact information
Practice address
825 W ROYAL LN, IRVING, TX 75039-3601
(512) 595-3045
Mailing address
825 W ROYAL LN, SUITE 140, IRVING, TX 75039-3601
(512) 595-3045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G3628
TX
363AM0700X
Medical Physician Assistant
Primary
PA05410
TX
Other
Enumeration date
10/10/2013
Last updated
06/24/2015
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