Individual
EDGAR V MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 WESTMONT DR STE 547, HOUSTON, TX 77015-4365
(713) 455-7074
Mailing address
1140 WESTMONT DR STE 547, HOUSTON, TX 77015-4365
(713) 455-7074
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12339
TEXAS BOARD OF CHIROPRACTIC EXAMINERS
TX
Enumeration date
06/02/2017
Last updated
06/02/2017
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