Individual
BERTHA P MENDIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2701 HOSPITAL DR, VICTORIA, TX 77901-5749
(361) 575-6396
(361) 578-5203
Mailing address
2701 HOSPITAL DR, VICTORIA, TX 77901-5749
(361) 575-6396
(361) 578-5203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1014596
TX
Other
Enumeration date
10/14/2019
Last updated
11/03/2023
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