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NPI Code Detail

MEDICARE: TOMAS MENCHACA

MEDICARE: TOMAS MENCHACA
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
1106H00000XMarriage & Family Therapist206353TX

General Provider Information

NPI Number : 1548115512
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMAS MENCHACA
Provider Business Mailing Address
First Line : 4817 CLEVES AVE
Second Line :
City : AUBREY
State : TX
Zip : 76227-1836
Country : US
Telephone Number : 469-956-2607
Fax Number :
Provider Business Practice Location Address
First Line : 5700 TENNYSON PKWY STE 300
Second Line :
City : PLANO
State : TX
Zip : 75024-3595
Country : US
Telephone Number : 469-956-2607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ TOMAS MENCHACA ” Practice Location

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