Organization
HENRY P MENDOZA MD PC
Active
Other names
Diagnostic Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY P MENDOZA MD (OWNER)
(810) 732-0020
Entity
Organization
Contact information
Practice address
2239 S LINDEN RD, FLINT, MI 48532-5412
(810) 732-0020
(810) 732-7937
Mailing address
2239 S LINDEN RD, FLINT, MI 48532-5412
(810) 732-0020
(810) 732-7937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301031986
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0258594
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
1015680
—
MI
Enumeration date
12/15/2009
Last updated
12/15/2009
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