Rosa Isela Mendoza, RN
Individual provider Active NPI General Practice Registered Nurse · Whitney, TX
NPI 1316106982 · NPPES record last updated Jun 8, 2008
Key facts
- NPI
- 1316106982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 695861 (TX)
- Practice address
- 1409 Highway 22
Whitney, TX 76692-7624 - Phone
- (254) 694-7144
- NPI assigned
- Jun 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 695861 | TX | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 695861 | TX | Yes |
Addresses
Primary practice location
1409 Highway 22
Whitney, TX 76692-7624
Mailing address
492 FM 2604
Whitney, TX 76692-4664
Phone (254) 694-7144
Other providers in Whitney, TX
- Lake Whitney Physicians Clinic LLC
- Lakeside Physicians Management LLC
- Jamie Lee
- Jorge Armando Marcial
- Medical Center
- Sejalben A Mistry
- Lauren E Montgomery
- Leslie Ann-Sikes Montgomery
- Motion Therapy Staffing Inc.
- Nocona Hospital District
All providers in Whitney, TX · General Practice Registered Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.