Individual
DR. KRIS NICOLE DE GUZMAN MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5700
(915) 215-8872
Mailing address
5130 GATEWAY BLVD E, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
V1191
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
V1191
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2018
Last updated
07/10/2024
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