Individual
ILANA MICHAL MENDELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R0876
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2012
Last updated
01/25/2022
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