Individual
DANIEL ETHAN MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7447 EAGLE LEDGE, SAN ANTONIO, TX 78249-2786
(210) 712-4256
Mailing address
7447 EAGLE LEDGE, SAN ANTONIO, TX 78249-2786
(210) 712-4256
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
698308
TX
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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