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General NPI Number Information
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NPI Number | 1760391882
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Entity Type | Organization
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Legal Business Name | MENDCARE WELLNESS & MEDSPA
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 105 S SEGUIN RD STE 102
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City | CONVERSE
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State | TX
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Zip | 78109-2122
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Country | US
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Telephone | 210-257-0675
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Fax | 210-695-7036
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Provider Business Mailing Address
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Address Line | 7238 RUBY PALM PASS
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City | SAN ANTONIO
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State | TX
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Zip | 78218-6065
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Country | US
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Telephone | 210-257-0675
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Fax | 210-695-7036
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Authorized Official
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Title or Position | FNP-BC
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Name | YUNEIDYS MENDOZA GUTIERREZ
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Credential | FNP-BC
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Telephone | 210-876-8577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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