Individual
MS. NICOLE RENEE MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7777 FOREST LANE, A-307, DALLAS, TX 75230
(972) 566-4866
Mailing address
419 MONTE VISTA DRIVE, DALLAS, TX 75223
(281) 799-7663
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
729962
TX
Other
Enumeration date
10/31/2012
Last updated
10/16/2019
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