Individual
MR. RICARDO A MENDIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
6262 MCPHERSON RD STE 104, LAREDO, TX 78041-6183
(956) 516-7304
(956) 516-7301
Mailing address
PO BOX 452268, LAREDO, TX 78045
(956) 516-7304
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1034439
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN02717
RI
Other
Enumeration date
04/12/2021
Last updated
04/03/2023
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