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Individual

JASON MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
Mailing address
804 LOCHRIDGE, AMARILLO, TX 79118-1401
(806) 336-0464

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
338107
AZ
363LA2100X
Acute Care Nurse Practitioner
1132860
TX

Other

Enumeration date
08/22/2023
Last updated
04/23/2026
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