Mendez, Micheal C

Mendez, Micheal C is an individual health care provider with primary practice located at 546 W Seminary Dr Ste A , Fort Worth TX 76115-1361. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mendez, Micheal C can be contacted via phone (817) 924-7978.

Contact Information

Primary practice address
546 W Seminary Dr Ste A Fort Worth TX 76115-1361
Phone: (817) 924-7978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07924 Texas

Profile Details

NPI number 1952647422
LBN Legal business name Mendez, Micheal C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2013
Last updated Mar 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952647422 NPPES
Texas MEDICAID 3550519-02

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