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Organization

DIEGO F. MENCHACA, M.D., P.A.

Active
Other names
Diego F. Menchaca, M.D., P.A.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIEGO F MENCHACA M.D. (PHYSICIAN)
(956) 795-8300
Entity
Organization

Contact information

Practice address
1203 WELBY CT STE 2, LAREDO, TX 78045-1951
(956) 795-8300
(956) 795-8303
Mailing address
1203 WELBY CT STE 2, LAREDO, TX 78045-1951
(956) 795-8300
(956) 795-8303

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
K4503
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150779001
TX
05
150779002
TX
Enumeration date
04/04/2007
Last updated
04/30/2013
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