Michelle M Mendoza
INTERNAL MEDICINE PROVIDERS OF EL PASO PLLC


Address: 717 Lakeway Dr, El Paso, TX 79932-3120
Phone: 9153732796

Michelle M Mendoza (NPI# 1962468298, PAC ID# 1153383831) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1962468298
PAC ID by PECOS 1153383831
Professional Enrollment ID I20041103001334
Full Name Michelle M Mendoza
Organization Legal Name INTERNAL MEDICINE PROVIDERS OF EL PASO PLLC
Address 717 Lakeway Dr
El Paso
TX 79932-3120
Phone Number 9153732796
Gender F
Credential MD
Medical School WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2001
Primary Specialty INTERNAL MEDICINE
Secondary Specialties EMERGENCY MEDICINE
Group Practice PAC ID 8921316563
Number of Group Practice Members 2
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450668 SIERRA MEDICAL CENTER
450024 UNIVERSITY MEDICAL CENTER OF EL PASO

Other Locations

Address Phone Organization
717 Lakeway Dr, El Paso, TX 79932-3120 9153732796 INTERNAL MEDICINE PROVIDERS OF EL PASO PLLC

Organization Information

Organization Legal Name INTERNAL MEDICINE PROVIDERS OF EL PASO PLLC
Physicians 1

Office Location

Street Address 717 LAKEWAY DR
City EL PASO
State TX
Zip 79932-3120

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Competitor

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City EL PASO
Zip Code 79932
Specialty INTERNAL MEDICINE
City + Specialty EL PASO + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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