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NPI Code Detail

MEDICARE: CLINICA DR. MENDEZ, PLLC

MEDICARE: CLINICA DR. MENDEZ, PLLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1447675798
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICA DR. MENDEZ, PLLC
Provider Business Mailing Address
First Line : 7016 HARRISBURG BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77011-4655
Country : US
Telephone Number : 713-923-9850
Fax Number : 713-923-9859
Provider Business Practice Location Address
First Line : 7016 HARRISBURG BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77011-4655
Country : US
Telephone Number : 713-923-9850
Fax Number : 713-923-9859
Authorized Official
Title or Position : MANAGER
Name : EDNAH ROGERS
Credential : RN
Telephone Number : 713-923-9850
Provider Enumeration Date : 02/24/2014
Last Update Date : 11/06/2014

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