Mendoza, Melanie Lynn
Mendoza, Melanie Lynn is an individual health care provider with primary practice located at Christus Trinity Clinic 520 E. Douglas Blvd., Tyler TX 75702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mendoza, Melanie Lynn can be contacted via phone (903) 593-1721.Contact Information
Primary practice address
Christus Trinity Clinic 520 E. Douglas Blvd.
Tyler TX 75702
Phone: (903) 593-1721
Fax: (903) 525-1259
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 912981 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP 9318647 | Florida |
Profile Details
NPI number | 1508912502 |
---|---|
LBN Legal business name | Mendoza, Melanie Lynn |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2007 |
Last updated | Mar 7th, 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 | 1508912502 | NPPES |
Texas | Other | 75-2616977-007 | TRICARE |
Texas | Other | 573360YMAF | TRICARE |
Texas | MEDICAID | 372757002 | TRICARE |
Texas | Other | 8HS129 | TRICARE |
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