Individual
DR. JORGE ENRIQUE MENDIZABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1882
(361) 853-0867
(361) 853-0887
Mailing address
3301 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1882
(361) 853-0867
(361) 853-0887
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
L6525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159507601
—
TX
Enumeration date
08/23/2006
Last updated
07/08/2007
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