Individual
LANCE T. MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
755 N 11TH ST, SUITE P3600, BEAUMONT, TX 77702-1500
(409) 838-5214
(409) 838-1946
Mailing address
PO BOX 5587, BEAUMONT, TX 77726-5587
(409) 835-0426
(409) 838-1946
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
114102
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP132968
APN
TX
Enumeration date
01/27/2017
Last updated
01/27/2017
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