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Jason Mendoza
Acute Care Nurse Practitioner in Odessa, Texas
NPI 1700660693

Jason Mendoza is an Acute Care Nurse Practitioner based in Amarillo, TX and is specialized in Acute Care. Jason Mendoza practices in Odessa, TX. The NPI Number for Jason Mendoza is 1700660693 and holds a License No. 1132860 (Texas).

The current practice location address for Jason Mendoza is 520 E 6Th St, Odessa, TX and can be reached out via phone at 432-582-8000.

Location: 520 E 6Th St, Odessa, TX, 79118-1401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700660693
Provider Name
Jason Mendoza
Credential
Provider Entity Type
Individual
Gender
Male
Address
520 E 6Th St, Odessa, TX, 79118-1401
Phone Number
432-582-8000
Fax Number
Provider Enumeration Date
08/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
520 E 6Th St
City
Odessa
State
Texas
Zip
79761-4527
Phone Number
432-582-8000
Fax Number
person
Provider Business Mailing Address Details
Address
520 E 6Th St
City
Odessa
State
Texas
Zip
79761-4527
Phone Number
432-582-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
1132860 (Texas)
Definition
Definition to come...
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