Individual
MARA JEMELINE MENDOZA NISNISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6621 FANNIN ST STE A200, HOUSTON, TX 77030-2358
(832) 824-5800
Mailing address
5914 BRIAR HILL CT, SUGAR LAND, TX 77479-4250
(832) 362-7907
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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