Individual
DR. GERALD MENDOZA SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4032 MCDERMOTT RD, STE. 100, PLANO, TX 75024-7733
(972) 769-9000
(972) 769-0035
Mailing address
4032 MCDERMOTT RD, STE. 100, PLANO, TX 75024-7733
(972) 769-9000
(972) 769-0035
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
K4572
TX
2084N0600X
Clinical Neurophysiology Physician
K4572
TX
Other
Enumeration date
12/26/2006
Last updated
06/18/2014
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