Individual
CARLOS MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 S FRY RD STE 465, KATY, TX 77450-2259
(281) 940-8515
Mailing address
22507 OAK MIST LN, KATY, TX 77494-2256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
74716
TX
Other
Enumeration date
09/29/2015
Last updated
11/02/2015
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