Healthcare Provider Details

I. General information

NPI: 1053242552
Provider Name (Legal Business Name): RUBI MENDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 OAKHURST LN
HORIZON CITY TX
79928-2501
US

IV. Provider business mailing address

419 OAKHURST LN
HORIZON CITY TX
79928-2501
US

V. Phone/Fax

Practice location:
  • Phone: 915-226-8445
  • Fax:
Mailing address:
  • Phone: 915-226-8445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number41401
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: