Individual
DR. ROBERT EUGENE MENDONSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W MAIN ST, #200, LEWISVILLE, TX 75057-3639
(972) 420-1776
(972) 221-8685
Mailing address
PO BOX 977, LEWISVILLE, TX 75067-0977
(972) 420-1776
(972) 221-8685
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J4348
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030782901
—
TX
01
—
200031204
RAILROAD MEDICARE
TX
01
—
8BF128
BLUECROSS
TX
Enumeration date
05/04/2006
Last updated
01/14/2009
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