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General NPI Number Information
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NPI Number | 1184929333
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Entity Type | Individual
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Provider Name | ROGER FRANCISCO CARBAJAL MENDOZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 10023 S. MAIN C-9
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City | HOUSTON
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State | TX
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Zip | 77025
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Country | US
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Telephone | 713-791-1633
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Fax | 713-791-1710
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Provider Business Mailing Address
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Address Line | 12234 SHADOW CREEK PKWY STE 5104
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City | PEARLAND
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State | TX
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Zip | 77584-7334
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Country | US
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Telephone | 347-785-6943
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 003707
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | P0559
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License Number State | TX
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