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NPI Code Detail

MEDICARE: KERRY MENDES

MEDICARE: KERRY MENDES
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
12084F0202XForensic Psychiatry PhysicianT3519TX
22084P0800XPsychiatry PhysicianT3519TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124348370
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY MENDES
Provider Business Mailing Address
First Line : 2150 W 18TH ST STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1289
Country : US
Telephone Number : 713-426-0027
Fax Number :
Provider Business Practice Location Address
First Line : 2150 W 18TH ST STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1289
Country : US
Telephone Number : 713-426-0027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2010
Last Update Date : 04/30/2025

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Directions to “ KERRY MENDES ” Practice Location

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