Individual
JOHN THOMAS MENCHACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-7777
Mailing address
2715 BENRUS BLVD, SAN ANTONIO, TX 78228-2320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14004178-1205
UT
Other
Enumeration date
03/25/2021
Last updated
03/10/2025
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