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NPI Code Detail

MEDICARE: MRS. GUADALUPE MENDEZ RN, CCP

MEDICARE:  MRS. GUADALUPE  MENDEZ  RN, CCP
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
1242T00000XPerfusionistFPF00000155TX

General Provider Information

NPI Number : 1902185317
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GUADALUPE MENDEZ RN, CCP
Provider Business Mailing Address
First Line : 14603 HUEBNER RD
Second Line : BLD 28 STE 2801
City : SAN ANTONIO
State : TX
Zip : 78230-5469
Country : US
Telephone Number : 210-614-7074
Fax Number : 210-614-7091
Provider Business Practice Location Address
First Line : 14603 HUEBNER RD
Second Line : BLD 28 STE 2801
City : SAN ANTONIO
State : TX
Zip : 78230-5469
Country : US
Telephone Number : 210-614-7074
Fax Number : 210-614-7091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2011
Last Update Date : 01/09/2020

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Directions to “ MRS. GUADALUPE MENDEZ RN, CCP” Practice Location

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