Individual
ALLAN D MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5758 TIMBERGATE DR, CORPUS CHRISTI, UT 78414
(361) 215-3355
Mailing address
4229 LAKE APACHE DR, CORPUS CHRISTI, TX 78413-5821
(361) 331-4464
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1095255
TX
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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