ERNESTO MENDOZA MALDIA (NPI# 1417975129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417975129 |
| Entity Type | Individual |
| Full Name | ERNESTO MENDOZA MALDIA |
| Other Name | ERNESTO MENDOZA MALDIA |
| Credential | MD |
| Practice Address |
650 S 22nd Street Slaton TX 79364 |
| Mailing Address |
Po Box 220 650 S 22nd Street Slaton TX 79364 |
| Practice Telephone | 8068286253 |
| Practice Fax Number | 8068286844 |
| Mailing Telephone | 8068286253 |
| Mailing Fax Number | 8068286844 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | E3358 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 00R477 | 01 |
| Street Address |
650 S 22ND STREET |
| City | SLATON |
| State | TX |
| Zip Code | 79364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386181725 | Neha Dubey | Physical Therapist | 603 S 19th St, Slaton, TX 79364 | 2017-01-24 |
| 1174746762 | H Michael Evans | Dentist | 105 W Lubbock Street, Slaton, TX 79364 | 2007-04-11 |
| 1558313924 | Home Oxygen & Equipment Co | Durable Medical Equipment & Medical Supplies | 133 South 9th, Slaton, TX 79364 | 2006-05-16 |
| 1124626940 | Amanda Deann Williamson | Family Medicine | 12309 Fm 3431, Slaton, TX 79364-1207 | 2020-10-14 |
| 1851941850 | Carol Renee Alley | Registered Nurse | 11907 Fm 3431, Slaton, TX 79364-1208 | 2019-09-12 |
| 1346729258 | Alyssa Myers | Licensed Vocational Nurse | 840 N 20th St, Slaton, TX 79364-3118 | 2018-08-10 |
| 1124401542 | Bonnie Rudd | Social Worker | 125 E Dickens St, Slaton, TX 79364-3522 | 2015-07-02 |
| 1023485877 | Badgett Group | Psychologist | 125 E Dickens St, Slaton, TX 79364-3522 | 2015-08-27 |
| 1316163272 | Slaton Independent School District | Local Education Agency (LEA) | 615 W Lubbock St, Slaton, TX 79364-3830 | 2007-04-18 |
| 1326168352 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 225 S 10th St, Slaton, TX 79364-4001 | 2007-03-31 |
| Find all providers in zip 79364 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| 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.