Individual
JENNIFER PULIDO MENCHACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3521 W FREDDY GONZALEZ DR, EDINBURG, TX 78539-8391
(956) 287-2100
(956) 287-2111
Mailing address
3521 W FREDDY GONZALEZ DR, EDINBURG, TX 78539-8391
(956) 287-2100
(956) 287-2111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA05422
PA
TX
Enumeration date
11/14/2007
Last updated
12/03/2024
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