DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: THEODORE BULACAN MENDOZA III FNP-BC

MEDICARE: THEODORE BULACAN MENDOZA III FNP-BC
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
1363LF0000XFamily Nurse PractitionerAP136094TX

General Provider Information

NPI Number : 1336645928
Entity Type Code : Individual
Provider Name (Legal Business Name) : THEODORE BULACAN MENDOZA III FNP-BC
Provider Business Mailing Address
First Line : 7328 LAGUNA
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75054-0139
Country : US
Telephone Number : 972-898-8933
Fax Number :
Provider Business Practice Location Address
First Line : 6407 S COOPER ST STE 117
Second Line :
City : ARLINGTON
State : TX
Zip : 76001-5813
Country : US
Telephone Number : 817-472-7601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2018
Last Update Date : 04/03/2018

Similar Medicare Providers

1972519544 — MR. UMAR SAEED MD
Practice Location Address:
6407 S COOPER ST STE 117
ARLINGTON, TX
76001-5813
Practice Phone: 817-472-7601
Practice Fax: 817-472-7213
1952561631 — DR. MUHAMMAD ARIF MD
Practice Location Address:
6407 S COOPER ST STE 117
ARLINGTON, TX
76001-5813
Practice Phone: 412-655-4362
Practice Fax:
1598188492 — EXCEL PAIN CONSULTANTS LLC
Practice Location Address:
6407 S COOPER ST STE 117
ARLINGTON, TX
76001-5813
Practice Phone: 412-655-4362
Practice Fax:
1326433376 — COMMUNITY URGENT CARE, LLC
Practice Location Address:
6407 S COOPER ST STE 117
ARLINGTON, TX
76001-5813
Practice Phone: 817-472-7601
Practice Fax:
1336668243 — EXPECARE LP
Practice Location Address:
6407 S COOPER ST STE 117
ARLINGTON, TX
76001-5813
Practice Phone: 817-472-7601
Practice Fax: 817-472-7213
1023632759 — FASEEHA RAZA PA-C
Practice Location Address:
6407 S COOPER ST STE 117
ARLINGTON, TX
76001-5813
Practice Phone: 817-472-7061
Practice Fax:

Directions to “ THEODORE BULACAN MENDOZA III FNP-BC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.