Individual
DR. J E MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20104 VICTORIA CHASE RD, LAGO VISTA, TX 78645-4326
(432) 528-2705
Mailing address
20104 VICTORIA CHASE RD, LAGO VISTA, TX 78645-6311
(432) 528-2705
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
F3552
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123682002
—
TX
Enumeration date
07/07/2005
Last updated
08/16/2015
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