Individual
ANNA MARIE TEENA CAPULONG MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10031884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130880104
GROUP MEDICAID
TX
01
—
1831267079
GROUP NPI
TX
01
—
451901
GROUP MEDICARE
TX
Enumeration date
07/01/2008
Last updated
07/21/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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