Individual
JORGE A. MENDOZA-VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA, SA-C.
Contact information
Practice address
16655 SOUTHWEST FWY, SUGAR LAND, TX 77479-2329
(281) 274-7000
Mailing address
12250 S KIRKWOOD RD APT 734, STAFFORD, TX 77477-2121
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA00733
TX
363AS0400X
Surgical Physician Assistant
Primary
SA00733
TX
Other
Enumeration date
05/23/2019
Last updated
01/03/2020
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