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Dr. Jason Max Mendivil, DPM
Foot & Ankle Surgery Podiatrist in El Paso, Texas
NPI 1790117893

Jason Max Mendivil is a Foot & Ankle Surgery Podiatrist based in El Paso, TX and is specialized in Foot & Ankle Surgery. Jason Max Mendivil practices in El Paso, TX and has the professional credentials of DPM. The NPI Number for Jason Max Mendivil is 1790117893 and holds a License No. 2205 (Texas).

The current practice location address for Jason Max Mendivil is 4646 N Mesa St, El Paso, TX and can be reached out via phone at 915-313-6300 and via fax at 915-521-2028. You can also correspond with Jason Max Mendivil through the mailing address at 4646 N MESA ST, EL PASO, TX - 79912-6104 (mailing address contact number: 915-313-6300).

Location: 4646 N Mesa St, El Paso, TX, 79912-6104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790117893
Provider Name
Jason Max Mendivil
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4646 N Mesa St, El Paso, TX, 79912-6104
Phone Number
915-313-6300
Fax Number
915-521-2028
Provider Enumeration Date
07/31/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
358170402 05 TX
institution
Provider Business Practice Location Address Details
Address
4646 N Mesa St
City
El Paso
State
Texas
Zip
79912-6104
Phone Number
915-313-6300
Fax Number
915-521-2028
person
Provider Business Mailing Address Details
Address
4646 N Mesa St
City
El Paso
State
Texas
Zip
79912-6104
Phone Number
915-313-6300
Fax Number
915-521-2028
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
2205 (Texas)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
2205 (Texas)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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