MEDICARE: DR. LEONARDO GARCIA-MENDEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	2084N0402X	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	OOU84G	OTHER	TX	BLUE CROSS PROVIDER #

General Provider Information

NPI Number	:	1083799001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARDO GARCIA-MENDEZ M.D.

Provider Business Mailing Address
First Line	:	2010 S CYNTHIA ST STE 106
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-1387
Country	:	US
Telephone Number	:	956-687-3318
Fax Number	:	956-687-4878

Provider Business Practice Location Address
First Line	:	2010 S CYNTHIA ST STE 106
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-1387
Country	:	US
Telephone Number	:	956-687-3318
Fax Number	:	956-687-4878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/30/2011

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