DR. ESPIRIDION REY MENDEZ


Address: 14416 Desert Sage Dr, Horizon City, TX 79928-6554
Phone: 8143235744

DR. ESPIRIDION REY MENDEZ (NPI# 1013103209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013103209
Entity Type Individual
Full Name DR. ESPIRIDION REY MENDEZ
Credential DO
Practice Address 14416 Desert Sage Dr
Horizon City
TX 79928-6554
Practice Telephone 8143235744
Mailing Telephone 8143235744
Enumeration Date 2007-09-20
Last Update Date 2020-09-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice S8077 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS MEDICAL BOARD PA05410 01
TX CONTROLLED SUBSTANCE C0154436 01
TX TEXAS MEDICAL LICENSE S8077 01
DEA FM9680934 01
AZ ARIZONA BOARD OF OSTEOPATHIC EXAMINERS R2982 01
IL ILLINOIS MEDICAL LICENSE 085003108 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2601 E Roosevelt St, Phoenix, AZ 85008 6023445445
4311 E Lohman Ave, Las Cruces, NM 88011 5755567600

Office Location

Street Address 14416 DESERT SAGE DR
City HORIZON CITY
State TX
Zip Code 79928-6554

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1518527480 Martha Irma Lafarelle Acupuncturist 14335 Desert Sunset Drive, Horizon City, TX 79928 2019-06-13
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1164925046 Project Vida Health Center Clinic/Center 13600 Ryderwood, El Paso, TX 79928 2018-03-16
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1285147173 Project Vida Health Center Clinic/Center 13000 Emerald Pass Ave, El Paso, TX 79928 2017-11-14
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City HORIZON CITY
Zip Code 79928

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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