Ernest J Mendoza in Porter - Family Medicine

Ernest J Mendoza - NPI 1386625002

Ernest J Mendoza is a Family Medicine in Porter, Texas. Ernest J Mendoza practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ernest J Mendoza is 1386625002. The last update date is 2012-03-16.

Ernest J Mendoza's current location address is 21083 Williams Creek Dr, Porter, Texas. You can contact this provider via phone number 7132995727. The mailing address for Ernest J Mendoza is 21083 Williams Creek Dr, Porter, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Ernest J Mendoza
Address 21083 Williams Creek Dr, Porter, Texas
Phone Number 7132995727
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1386625002
Provider Enumeration Date 2005-11-09
Last Updated Date 2012-03-16

Provider Mailing Address Detail

Address 21083 Williams Creek Dr
City Porter
State Texas (TX)
Post Code 773652380
Phone Number 7132995727
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No M0491
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10034812 TX AMERIGROUP COMMUNITY CARE
P00235710 TX RAILROAD MEDICARE
172500401 TX --
8R9840 TX BLUE CROSS BLUE SHIELD

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FAQs about Ernest J Mendoza

What is the unique 10-digit identifier code assigned to Ernest J Mendoza by the Centers for Medicare & Medicaid Services?

The Ernest J Mendoza has been issued the NPI (National Provider Identifier) 1386625002 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Ernest J Mendoza's facilities are geographically located?

The facilities of Ernest J Mendoza are physically situated at the following location: 21083 Williams Creek Dr, Porter, TX, 773652380.

What is the area of specialization for Ernest J Mendoza, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ernest J Mendoza is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1386625002 to Ernest J Mendoza?

The Ernest J Mendoza received its 1386625002 assignment from the Centers for Medicare & Medicaid Services on 2005-11-09.

As of what date were the Ernest J Mendoza's details last updated?

The information pertaining to the Ernest J Mendoza, including its address, specialty, and other details, was most recently updated on 2012-03-16.

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