Active NPI
Mendez Medical Consulting, PLLC
- Medical Physician Assistant
- Irving, TX
National Provider Identifier
1104253962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA05410
- Legal business name
- MENDEZ MEDICAL CONSULTING, PLLC
- Practice address
- 825 W Royal LN
Irving, TX 75039-3601 - Phone
- (512) 595-3045
- NPI assigned
- Oct 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Espiridion Mendez, MPAS, PA-C
- Title
- Vice President
- Phone
- (512) 595-3045
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G3628 | TX | |
| Medical Physician Assistant | 363AM0700X | PA05410 | TX | Primary |
Addresses
Primary practice location
825 W Royal LN
Irving, TX 75039-3601
Mailing address
825 W Royal LN
Suite 140
Irving, TX 75039-3601
Phone (512) 595-3045
National Provider Directory
National Provider DirectoryLocations
825 W Royal Ln
Irving, TX 75039
Phone (512) 595-3045
825 W Royal Ln
Ste 140
Irving, TX 75039
Phone (512) 595-3045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435104000000",
"number": "1104253962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 W ROYAL LN",
"address_2": "SUITE 140",
"city": "IRVING",
"state": "TX",
"postal_code": "750393601",
"telephone_number": "512-595-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 W ROYAL LN",
"city": "IRVING",
"state": "TX",
"postal_code": "750393601",
"telephone_number": "512-595-3045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDEZ MEDICAL CONSULTING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-10",
"last_updated": "2015-06-24",
"status": "A",
"authorized_official_last_name": "MENDEZ",
"authorized_official_first_name": "ESPIRIDION",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "512-595-3045",
"authorized_official_credential": "MPAS, PA-C"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "G3628",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA05410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.