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NPI Code Detail

MEDICARE: MICHELLE YVETTE MENDEZ MD

MEDICARE: MICHELLE YVETTE MENDEZ MD
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
1208100000XPhysical Medicine & Rehabilitation PhysicianM2712TX

General Provider Information

NPI Number : 1083647366
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE YVETTE MENDEZ MD
Provider Business Mailing Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-1757
Fax Number : 214-857-1759
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-1757
Fax Number : 214-857-1759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 03/17/2018

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