Organization Active NPI

Mendez Medical Consulting, PLLC

  • Medical Physician Assistant
  • Irving, TX
National Provider Identifier
1104253962
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA05410 Issued in TX
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

Updated by the provider on Jun 24, 2015

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X G3628 TX
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.