Individual
DIANA PATRICIA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 TRINITY ST, AUSTIN, TX 78712
(888) 698-8362
Mailing address
1501 RED RIVER ST STOP Z0100, AUSTIN, TX 78712-1845
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9109062
FL
Other
Enumeration date
10/21/2015
Last updated
08/20/2018
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