Individual
DR. JOSE AMERICO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 HARBORSIDE DR STE 105-107, GALVESTON, TX 77555-0001
(409) 747-1883
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-6509
(409) 747-6240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R0452
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
R0452
TX
Other
Enumeration date
04/11/2013
Last updated
02/01/2023
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