Individual
MR. JESUS MENDEZ FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2224 ALAMEDA CT, ODESSA, TX 79763-2273
(605) 393-5488
Mailing address
2224 ALAMEDA CT, ODESSA, TX 79763-2273
(605) 393-5488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13121
CA
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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