Individual
MRS. MILDRED TEVES MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-4504
Mailing address
4520 BONNYWOOD DR, MESQUITE, TX 75150-8281
(214) 477-4925
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP135832
TX
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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