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General NPI Number Information
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NPI Number | 1659316677
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Entity Type | Individual
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Provider Name | DAVID ENRIQUE MENDEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 11616 CHAPMAN HWY
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City | SEYMOUR
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State | TN
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Zip | 37865-5046
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Country | US
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Telephone | 865-573-3720
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Fax | 866-406-8173
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Provider Business Mailing Address
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Address Line | PO BOX 15004
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City | KNOXVILLE
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State | TN
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Zip | 37901-5004
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Country | US
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Telephone | 865-541-8895
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Fax | 865-633-4808
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD35439
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License Number State | TN
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