Mendez, Carlos Juan
Mendez, Carlos Juan is an individual health care provider with primary practice located at 1100 Wilford Hall Loop , Jbsa Lackland TX 78236-5638. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mendez, Carlos Juan can be contacted via phone (210) 292-2003.Contact Information
Primary practice address
1100 Wilford Hall Loop
Jbsa Lackland TX 78236-5638
Phone: (210) 292-2003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA06869 | Texas |
Profile Details
| NPI number | 1831404201 |
|---|---|
| LBN Legal business name | Mendez, Carlos Juan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2010 |
| Last updated | Apr 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831404201 | NPPES |
| Texas | Other | PA06869 | LICENSE |
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