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NPI Code Detail

MEDICARE: CHRISTOPHER MENDIOLA PAC

MEDICARE: CHRISTOPHER MENDIOLA PAC
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
1363A00000XPhysician AssistantPA09796TX
2363AM0700XMedical Physician AssistantPA09796TX

General Provider Information

NPI Number : 1689029308
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER MENDIOLA PAC
Provider Business Mailing Address
First Line : PO BOX 734812
Second Line :
City : DALLAS
State : TX
Zip : 75373-4812
Country : US
Telephone Number : 210-358-9500
Fax Number : 210-358-9183
Provider Business Practice Location Address
First Line : 200 N COMAL STE B114
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-3505
Country : US
Telephone Number : 210-335-5320
Fax Number : 210-335-5329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2016
Last Update Date : 11/07/2025

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Directions to “ CHRISTOPHER MENDIOLA PAC” Practice Location

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