Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRESENT MENDEZ (PHYSICIAN ASSISTANT)
(214) 857-1748
Entity
Organization
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1748
Mailing address
1405 BUTTERFLY LN, GARLAND, TX 75041-2195
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
TX
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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