Individual
RUBEN V MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
1619 S KENTUCKY ST STE A502, AMARILLO, TX 79102-2277
(806) 354-8300
Mailing address
1619 S KENTUCKY ST STE A502, AMARILLO, TX 79102-2277
(806) 354-8300
(806) 354-9962
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L1391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127378105
—
TX
05
—
140834601
—
TX
05
—
140834602
—
TX
05
—
140834608
—
TX
Enumeration date
12/01/2005
Last updated
02/03/2026
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