BERTHA P MENDIETA


Address: Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904
Phone: 3615756396

BERTHA P MENDIETA (NPI# 1528600384) 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) 1528600384
Entity Type Individual
Full Name BERTHA P MENDIETA
Credential PA
Practice Address Citizens Victoria Surgical Associates
2705 Hospital Drive Suite 400, Building B
Victoria
TX 77904
Mailing Address Citizens Victoria Surgical Associates
2705 Hospital Drive Suite 400 Building B
Victoria
TX 77901
Practice Telephone 3615756396
Enumeration Date 2019-10-14
Last Update Date 2019-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1014596 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address CITIZENS VICTORIA SURGICAL ASSOCIATES
2705 HOSPITAL DRIVE SUITE 400, BUILDING B
City VICTORIA
State TX
Zip Code 77904

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952968901 Eliza Welder Counselor 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 2019-05-24
1154806529 Tammy Lynn Hogan Counselor 4702 N. Laurent Ste D, Victoria, TX 77904 2018-10-01
1740724939 Sarah Ritchea Counselor 6502 Nursery Dr. Suite 100, Victoria, TX 77904 2016-12-07
1992177489 World of Words Speech & Feeding Services, LLC Speech-Language Pathologist 120 Appaloosa Dr., Victoria, TX 77904 2015-10-23
1396115739 Katelin Mcvey Physician Assistant 106 Springwood Drive, Suite 100, Victoria, TX 77904 2015-09-28
1689070062 Jeremy M Thompson Dds Ms Pllc Clinic/Center 103 Professional Park Driv, Victoria, TX 77904 2014-11-12
1265864144 Pf Development 23, LLC Hospice Care, Community Based 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 2013-08-02
1053669762 Victoria Dentistry, Pllc Dentist 8809 North Navarro, Ste.100, Victoria, TX 77904 2012-08-28
1508126442 Ayo Adu, M.d., Pllc Family Medicine 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 2012-05-25
1659654234 Christie Ann Soliz Behavioral Analyst 6502 Nursery Dr., Suite 100, Victoria, TX 77904 2011-09-21
Find all providers in zip 77904

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790216547 Jenna Denise Darilek Physician Assistant 2705 Hospital Dr Ste 100, Victoria, TX 77901-5776 2017-03-23
1689950891 Albert Juarez Jr. Physician Assistant 602 Berkshire Ln, Victoria, TX 77904-1775 2011-11-01
1437437845 Brooke Buckentine Simones Physician Assistant 2420 Heron Ln, Victoria, MN 55386-4558 2011-08-02
1215943055 Athena Bevette Baldwin Physician Assistant 2701 Hospital Drive, Citizen's Medical Center Ed, Victoria, TX 77901 2006-08-01
1508379082 Rebecca Ware Copeland Physician Assistant 106 Springwood Dr Ste 100, Victoria, TX 77904-3394 2017-11-07
1013466127 Courtney Thompson Physician Assistant 605 E San Antonio St Ste 520e, Victoria, TX 77901 2016-09-30
1003261744 Sherri S Mccall-kyle Physician Assistant 2705 Hospital Dr, Suite 100, Victoria, TX 77901-5775 2016-05-02
1659794667 Taylar Brooke Hayden Physician Assistant 605 E San Antonio St Ste 520e, Victoria, TX 77901-6086 2014-01-27
1265853659 Oleander Physician Services Pa Physician Assistant 2701 Hospital Dr, Victoria, TX 77901-5748 2014-01-02
1346515103 Oleander Emergency Medicine Associates Pa Physician Assistant 2701 Hospital Dr, Victoria, TX 77901-5748 2012-03-13
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Competitor

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City VICTORIA
Zip Code 77904

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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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