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Individual

KERRY MENDES

Active
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Individual

KERRY MENDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
T3519
TX
2084P0800X
Psychiatry Physician
Primary
T3519
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4291221-01
TX
Enumeration date
06/09/2010
Last updated
06/12/2026
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