Organization Active NPI

Ernest Mendoza, MD PA

  • Family Medicine Physician
  • Humble, TX
National Provider Identifier
1033190111
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ERNEST MENDOZA, MD PA
Practice address
1330 Kingwood Dr
Suite 100
Humble, TX 77339-3038
Phone
(281) 361-6500
Fax
(281) 361-6501
NPI assigned
Nov 7, 2005
Last updated
Aug 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ernest J Mendoza, M.D.
Title
Owner
Phone
(281) 361-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1330 Kingwood Dr
Suite 100
Humble, TX 77339-3038

Mailing address

1330 Kingwood Dr
Suite 100
Humble, TX 77339-3038
Phone (281) 361-6500

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1033190111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 KINGWOOD DR",
            "address_2": "SUITE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773393038",
            "telephone_number": "281-361-6500",
            "fax_number": "281-361-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 KINGWOOD DR",
            "address_2": "SUITE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773393038",
            "telephone_number": "281-361-6500",
            "fax_number": "281-361-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST MENDOZA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-361-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.