Rogelio D Mendoza MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F2352 Issued in TX

Legal business name

ROGELIO D MENDOZA MD PA

Practice address

15321 Highway 124
Beaumont, TX 77705-9127

Phone

(409) 794-2314

Fax

(409) 794-1348

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rogelio Dungo Mendoza, MD

Title

Medical Director

Phone

(409) 794-2314

Specialties & licenses 1

Addresses

Other names 1

• FANNETT MEDICAL CENTER Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daisy Mae Arco

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1083008320
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1487719670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15321 HIGHWAY 124",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777059127",
            "telephone_number": "409-794-2314",
            "fax_number": "409-794-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15321 HIGHWAY 124",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777059127",
            "telephone_number": "409-794-2314",
            "fax_number": "409-794-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGELIO D MENDOZA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_middle_name": "DUNGO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "409-794-2314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F2352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FANNETT MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ofelia Rodriguez Sierra, PTA
• Shelby Nicole Rodriguez, ATC, LAT
• Stephanie Ann Rodriguez, LCDC
• Jeremy Christopher Roebuck, MD
• Nathan R Roesler, M.D.
• Jean Almeda Rogers, NP
• Kristen Allenday Rogers, C.R.N.A.
• Siobain Kay Rogers, MSN, FNP-C, CCRN
• Cynthia Renee Roland, MD
• Joshua William Rollins, MD

• Family Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.