Christian Medical PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CHRISTIAN MEDICAL PLLC

Practice address

1309 Luverne Dr
Wylie, TX 75098-8607

Phone

(814) 323-5744

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Espiridion Mendez, DO

Title

Owner

Phone

(814) 323-5744

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1487315685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 LUVERNE DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 LUVERNE DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988607",
            "telephone_number": "814-323-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ESPIRIDION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-323-5744",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Wylie, TX
• Providers in Wylie, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.