MEDICARE: DR. ALEXANDER MENDOZA D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QS0010X	Sports Medicine (Family Medicine) Physician	U7014	TX
2	207Q00000X	Family Medicine Physician	U7014	TX

General Provider Information

NPI Number	:	1033733340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER MENDOZA D.O.

Provider Business Mailing Address
First Line	:	4306 DE ZAVALA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-4590
Country	:	US
Telephone Number	:	210-450-6720
Fax Number	:

Provider Business Practice Location Address
First Line	:	4306 DE ZAVALA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-4590
Country	:	US
Telephone Number	:	210-450-6720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	08/05/2024

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Directions to “ DR. ALEXANDER MENDOZA D.O.” Practice Location

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