Mendoza Medical Clinic

NPI #1073839759 in Kenner, Louisiana

Provider Information

NPI Number: 1073839759
Entity Type: Organization
Organization Name: Mendoza Medical Clinic
Primary Specialty: Pediatrics
Enumeration Date: Apr 20, 2010
Last Updated: Sep 22, 2011

Practice Location

Address: 3100 WILLIAMS BLVD
City: Kenner
State: Louisiana
ZIP Code: 70065
Phone: (504) 443-1744

Authorized Official

Name: ROBERTO CLEMENTE MENDOZA, M.D
Title: OWNER
Phone: (504) 443-1744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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