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General NPI Number Information
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NPI Number | 1942487145
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Entity Type | Organization
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Legal Business Name | RUBEN V MENDOZA, M.D., P.A.
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 1619 S KENTUCKY ST STE A502
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City | AMARILLO
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State | TX
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Zip | 79102-2277
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Country | US
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Telephone | 806-354-8300
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Fax | 806-354-9962
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Provider Business Mailing Address
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Address Line | 1619 S KENTUCKY ST STE A502
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City | AMARILLO
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State | TX
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Zip | 79102-2277
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Country | US
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Telephone | 806-354-8300
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Fax | 806-354-9962
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Authorized Official
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Title or Position | DR.
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Name | RUBEN V MENDOZA
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Credential | M.D.
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Telephone | 806-354-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | L1391
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License Number State | TX
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