Organization
TEXAS A&M UNIVERSITY COMMERCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAXINE MENDOZA PA-C (CLINIC DIRECTOR)
(903) 886-5853
Entity
Organization
Contact information
Practice address
2600 SOUTH NEAL, COMMERCE, TX 75429
(903) 886-5853
(903) 886-5854
Mailing address
PO BOX 3011, COMMERCE, TX 75429-3011
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QA1903X
TX
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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