Mendoza, Ernest J

Mendoza, Ernest J is an individual health care provider with primary practice located at 22710 Professional Dr Suite 202, Kingwood TX 77339-6008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mendoza, Ernest J can be contacted via phone (281) 312-8521.

Contact Information

Primary practice address
22710 Professional Dr Suite 202 Kingwood TX 77339-6008
Phone: (281) 312-8521
Fax: (281) 359-7971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M0491 Texas

Profile Details

NPI number 1386625002
LBN Legal business name Mendoza, Ernest J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Mar 16th, 2012 - about 12 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386625002 NPPES
Texas Other 10034812 AMERIGROUP COMMUNITY CARE
Texas Other P00235710 AMERIGROUP COMMUNITY CARE
Texas MEDICAID 172500401 AMERIGROUP COMMUNITY CARE
Texas Other 8R9840 AMERIGROUP COMMUNITY CARE

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