Mendoza, Melanie Lynn

Mendoza, Melanie Lynn is an individual health care provider with primary practice located at Christus Trinity Clinic 520 E. Douglas Blvd., Tyler TX 75702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mendoza, Melanie Lynn can be contacted via phone (903) 593-1721.

Contact Information

Primary practice address
Christus Trinity Clinic 520 E. Douglas Blvd. Tyler TX 75702
Phone: (903) 593-1721
Fax: (903) 525-1259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 912981 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9318647 Florida

Profile Details

NPI number 1508912502
LBN Legal business name Mendoza, Melanie Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Mar 7th, 2023 - about 3 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 1508912502 NPPES
Texas Other 75-2616977-007 TRICARE
Texas Other 573360YMAF TRICARE
Texas MEDICAID 372757002 TRICARE
Texas Other 8HS129 TRICARE

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