Mendoza, Ruben V
Mendoza, Ruben V is an sole proprietor health care provider with primary practice located at 22 Care Cir , Amarillo TX 79124-2118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mendoza, Ruben V can be contacted via phone (806) 354-8300.Contact Information
Primary practice address
22 Care Cir
Amarillo TX 79124-2118
Phone: (806) 354-8300
Fax: (806) 354-9962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | L1391 | Texas |
Profile Details
| NPI number | 1568446748 |
|---|---|
| LBN Legal business name | Mendoza, Ruben V |
| Credentials | M.D., P.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jun 2nd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568446748 | NPPES |
| Texas | MEDICAID | 140834601 | |
| Texas | MEDICAID | 140834602 | |
| Texas | MEDICAID | 127378105 | |
| Texas | MEDICAID | 140834608 |
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