Organization
JOHN A. MENCHACA, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. MENCHACA M.D. (PRESIDENT)
(817) 336-7275
Entity
Organization
Contact information
Practice address
800 8TH AVE, SUITE 124, FORT WORTH, TX 76104-2601
(817) 336-7275
(817) 336-8594
Mailing address
800 8TH AVE, SUITE 124, FORT WORTH, TX 76104-2601
(817) 336-7275
(817) 336-8594
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D4226
TX
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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