Individual
MR. CARLOS JUAN MENDEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-2003
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-2003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA06869
LICENSE
TX
Enumeration date
08/10/2010
Last updated
04/25/2023
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