Jonathan Omar Mendoza, APN is a
Nurse Practitioner based in Austin, Texas. Jonathan Omar Mendoza is licensed to practice in Texas (license number AP125975) and his current practice location is
2315 W Ben White Blvd, Austin, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 326-5440.
NPI number for Jonathan Omar Mendoza is 1639492945 and his current mailing address is 2315 W Ben White Blvd, Austin, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639492945.
Healthcare Provider's Profile
Full Name | Jonathan Omar Mendoza |
---|
Gender | Male |
---|
Speciality | Nurse Practitioner |
---|
Location | 2315 W Ben White Blvd, Austin, Texas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639492945
- Provider Enumeration Date: 03/02/2010
- Last Update Date: 11/17/2014
Medical Identifiers
Medical identifiers for Jonathan Omar Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639492945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 11344 (Texas) | Secondary |
363L00000X | Nurse Practitioner | AP125975 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Omar Mendoza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jonathan Omar Mendoza, APN 2315 W Ben White Blvd, Austin, TX 78704-7524 Ph: (512) 326-5440 | Jonathan Omar Mendoza, APN 2315 W Ben White Blvd, Austin, TX 78704-7524 Ph: (512) 326-5440 |
Reviews and Comments