| Ruben V Mendoza Md Pa | |
|
22 Care Cir Amarillo TX 79124-2118 | |
| (806) 354-8300 | |
| (806) 354-9962 |
| Full Name | Ruben V Mendoza Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 22 Care Cir, Amarillo, Texas |
| Authorized Official Name and Position | Ruben V Mendoza (DR.) |
| Authorized Official Contact | 8063548300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben V Mendoza Md Pa 22 Care Cir Amarillo TX 79124-2118 Ph: (806) 354-8300 | Ruben V Mendoza Md Pa 22 Care Cir Amarillo TX 79124-2118 Ph: (806) 354-8300 |
| NPI Number | 1942487145 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Medicare PECOS PAC ID | 4385607340 |
|---|---|
| Medicare Enrollment ID | O20041110000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942487145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | L1391 (Texas) | Primary |
| Provider Name | Ruben V Mendoza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568446748 PECOS PAC ID: 7911960976 Enrollment ID: I20050120000293 |
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