Individual
MARY BETH MENCHACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
7600 FANNIN ST, HOUSTON, TX 77054-1906
(713) 790-1234
Mailing address
2115 LANDERS DR, SUGAR LAND, TX 77479-6625
(713) 791-7343
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
527992
TX
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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