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NPI Code Detail

MEDICARE: DR. GERMAN CORSO MENDOZA M.D.

MEDICARE: DR. GERMAN CORSO MENDOZA 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
12084P0804XChild & Adolescent Psychiatry PhysicianP5166TX

General Provider Information

NPI Number : 1336304054
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERMAN CORSO MENDOZA M.D.
Provider Business Mailing Address
First Line : 1901 S 24TH AVE
Second Line :
City : EDINBURG
State : TX
Zip : 78539-6533
Country : US
Telephone Number : 956-289-7025
Fax Number : 956-289-7257
Provider Business Practice Location Address
First Line : 1901 S 24TH AVE
Second Line :
City : EDINBURG
State : TX
Zip : 78539-6533
Country : US
Telephone Number : 956-289-7000
Fax Number : 956-289-7257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2008
Last Update Date : 12/12/2025

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