Healthcare Provider Details

I. General information

NPI: 1245310655
Provider Name (Legal Business Name): DONNA MENDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 E HOSPITAL DR
ANGLETON TX
77515-4112
US

IV. Provider business mailing address

6621 FANNIN ST
HOUSTON TX
77030-2303
US

V. Phone/Fax

Practice location:
  • Phone: 979-849-7721
  • Fax:
Mailing address:
  • Phone: 832-824-5497
  • Fax: 832-825-5424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License NumberJ5614
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberJ5614
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberJ5614
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: