Organization
ROBERT E MENDONSA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. MENDONSA MD (MD)
(972) 420-1776
Entity
Organization
Contact information
Practice address
500 W MAIN ST., #200, LEWISVILLE, TX 75057-3639
(972) 420-1776
(972) 221-8685
Mailing address
PO BOX 977, LEWISVILLE, TX 75067-0977
(972) 420-1776
(972) 221-8685
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J4348
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085RJ
BLUECROSS
TX
01
—
DN8555
RAILROAD MEDICARE
TX
Enumeration date
03/10/2008
Last updated
01/14/2009
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