MEDICARE: MS. DAISY MAY MENDEZ

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	363A00000X	Physician Assistant	PA20171	TX

General Provider Information

NPI Number	:	1306565932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAISY MAY MENDEZ

Provider Business Mailing Address
First Line	:	5959 S STAPLES ST STE 102
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-3844
Country	:	US
Telephone Number	:	361-854-7000
Fax Number	:	361-814-2685

Provider Business Practice Location Address
First Line	:	5959 S STAPLES ST STE 102
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-3844
Country	:	US
Telephone Number	:	361-854-7000
Fax Number	:	361-814-2685

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

Provider Enumeration Date	:	08/25/2022
Last Update Date	:	04/02/2026

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Directions to “ MS. DAISY MAY MENDEZ ” Practice Location

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