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General NPI Number Information
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NPI Number | 1801609177
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Entity Type | Individual
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Provider Name | YERALDINE ANTUNEZ MENDOZA QMHP-CS
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 9894 BISSONNET ST STE 710
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City | HOUSTON
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State | TX
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Zip | 77036-8244
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Country | US
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Telephone | 281-968-1683
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Fax |
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Provider Business Mailing Address
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Address Line | 22618 AUBURN VALLEY LN
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City | KATY
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State | TX
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Zip | 77449-2205
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Country | US
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Telephone | 832-235-0989
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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