Theodore Bulacan Mendoza Iii (NPI# 1336645928, PAC ID# 3375808926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336645928 |
| PAC ID by PECOS | 3375808926 |
| Professional Enrollment ID | I20180531001085 |
| Full Name | Theodore Bulacan Mendoza Iii |
| Organization Legal Name | EXPECARE, LP |
| Address |
651 N Denton Tap Rd Coppell TX 75019-2007 |
| Phone Number | 9728991911 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3274797691 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670090 | CRESCENT MEDICAL CENTER LANCASTER |
| Address | Phone | Organization |
|---|---|---|
| 651 N Denton Tap Rd, Coppell, TX 75019-2007 | 9728991911 | EXPECARE, LP |
| 3909 W Parker Rd, Suite 104, Plano, TX 75023-6161 | 4696093062 | EXPECARE, LP |
| Organization Legal Name | EXPECARE, LP |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zahoor Ahmed | Family Medicine | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Wissam M Noubani | Physician Assistant | Expecare, Lp | 6407 S Cooper St, Suite 117, Arlington, TX 76001-5813 |
| Sandee E Harris | Nurse Practitioner | Expecare, Lp | 6407 S Cooper St, Suite 117, Arlington, TX 76001-5813 |
| Anna T Mathew | Nurse Practitioner | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Nadia R Emerick | Nurse Practitioner | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Mehar C Oad | Emergency Medicine | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Umar Saeed | Family Medicine | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Street Address |
651 N DENTON TAP RD |
| City | COPPELL |
| State | TX |
| Zip | 75019-2007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zahoor Ahmed | Family Medicine | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Anna T Mathew | Nurse Practitioner | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Nadia R Emerick | Nurse Practitioner | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Mehar C Oad | Emergency Medicine | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Umar Saeed | Family Medicine | Expecare, Lp | 651 N Denton Tap Rd, Coppell, TX 75019-2007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Irizarry | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Amy L Goddard | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Gail D Kaiser | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Kathleen Shirley | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Steven White | Physical Therapy | Goddard Orthopedic and Sports Therapy Inc | 1199 S Beltline Rd, Suite 140, Coppell, TX 75019 |
| Stephanie J Wilken | Optometry | Wilken Eye Associates, P.a. | 755 N Denton Tap Rd, Suite 100, Coppell, TX 75019-2120 |
| Bret E Wilken | Optometry | Wilken Eye Associates, P.a. | 755 N Denton Tap Rd, Suite 100, Coppell, TX 75019-2120 |
| Margaret A Adair | Allergy/immunology | 783 N Denton Tap Rd, Suite 150, Coppell, TX 75019-2129 | |
| Junesuk Lee | Chiropractic | 230 N Denton Tap Dr, Suite 112, Coppell, TX 75019-2135 | |
| Amber S Ingram | Physical Therapy | Ideal Physical Therapy of Texas LLC | 106 N Denton Tap Rd, Suite 220, Coppell, TX 75019-2139 |
| Find all physicians in zip 75019 | |||
| City | COPPELL |
| Zip Code | 75019 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COPPELL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Theodore Bulacan Mendoza Iii.
| 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.