Healthcare Provider Details

I. General information

NPI: 1588481774
Provider Name (Legal Business Name): MRS. JESSICA KATE DUNNIGAN MENDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JESSICA KATE DUNNIGAN

II. Dates (important events)

Enumeration Date: 09/20/2024
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6243 FAIRMONT PKWY STE 104
PASADENA TX
77505-4046
US

IV. Provider business mailing address

14311 BRYCE MEADOW LN
HOUSTON TX
77047-3350
US

V. Phone/Fax

Practice location:
  • Phone: 832-402-7856
  • Fax: 713-904-3071
Mailing address:
  • Phone: 409-658-7053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1216098
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: