MEDICARE: RUBEN MENDEZ MD

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	2084P0800X	Psychiatry Physician	BP10034402	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BP10034402	OTHER	TX	PHYSICIAN IN TRAINING PERMIT

General Provider Information

NPI Number	:	1720375983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUBEN MENDEZ MD

Provider Business Mailing Address
First Line	:	5090 RICHMOND AVE # 97
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-7402
Country	:	US
Telephone Number	:	713-298-0395
Fax Number	:	713-486-7201

Provider Business Practice Location Address
First Line	:	4888 LOOP CENTRAL DR STE 510
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2226
Country	:	US
Telephone Number	:	713-346-1551
Fax Number	:	713-346-1577

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

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	05/05/2023

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Directions to “ RUBEN MENDEZ MD” Practice Location

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