Rogelio D Mendoza MD PA

NPI #1487719670 in Beaumont, Texas

Provider Information

NPI Number: 1487719670
Entity Type: Organization
Organization Name: Rogelio D Mendoza MD PA
Primary Specialty: Family Medicine
Enumeration Date: Dec 27, 2006
Last Updated: Jan 9, 2008

Practice Location

Address: 15321 HIGHWAY 124
City: Beaumont
State: Texas
ZIP Code: 77705-9127
Phone: (409) 794-2314

Authorized Official

Name: DR. ROGELIO DUNGO MENDOZA, MD
Title: MEDICAL DIRECTOR
Phone: (409) 794-2314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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