Dr. Espiridion Rey Mendez
General Practice Physician
14416 Desert Sage Dr
Horizon City
, Texas 79928-6554
Dr. Espiridion Rey Mendez
General Practice Physician
14416 Desert Sage Dr
Horizon City
, Texas 79928-6554
(814) 323-5744
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Espiridion Rey Mendez
- 14416 Desert Sage Dr
- Horizon City, TX
- Zip : 79928-6554
- Phone : (814) 323-5744
Second Address
- Dr. Espiridion Rey Mendez
- 14416 Desert Sage Dr
- Horizon City, TX
- Zip : 79928-6554
- Phone : (814) 323-5744
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Is Dr. Espiridion Rey Mendez a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | S8077 | TX |
National Provider Identifier
| NPI | 1013103209 |
|---|---|
| Provider Name | Dr. Espiridion Rey Mendez |
| First Address | Horizon City, TX 79928-6554 |
| Second Address | Horizon City, TX 79928-6554 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2007 |
| Last Update Date | 16/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 085003108 | ILLINOIS MEDICAL LICENSE (01) | IL |
| C0154436 | CONTROLLED SUBSTANCE (01) | TX |
| FM9680934 | DEA (01) | |
| PA05410 | TEXAS MEDICAL BOARD (01) | TX |
| R2982 | ARIZONA BOARD OF OSTEOPATHIC EXAMINERS (01) | AZ |
| S8077 | TEXAS MEDICAL LICENSE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.