Individual
ALYSSA FAYTHE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3417 GASTON AVE STE 920, DALLAS, TX 75246-2035
(469) 800-9260
Mailing address
3420 ASTER LN, ROWLETT, TX 75089-7094
(214) 727-1398
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/19/2023
Last updated
03/27/2024
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