Organization Active NPI

Mendiola Family Healthcare PLLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1790389757
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MENDIOLA FAMILY HEALTHCARE PLLC
Practice address
1415 North Loop W Ste 940
Houston, TX 77008-5602
Phone
(713) 697-4705
Fax
(713) 697-4763
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Victor O MendiolaNPI 1336202134
Title
Owner/Physician
Phone
(713) 697-4705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1415 North Loop W Ste 940
Houston, TX 77008-5602

Mailing address

PO Box 1205
Sugar Land, TX 77487-1205
Phone (713) 697-4705

Other identifiers 1

IdentifierTypeStateIssuer
127001904MedicaidTX

Other names 2

  • Mendiola Family Healthcare PLLC Doing business as
  • Victor Mendiola MD Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mendiolafh.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211202001400 TX Part B Supplier - Clinic/Group Practice 9537559752 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

521 N Sam Houston Pkwy E
Ste 120
Houston, TX 77060

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1790389757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1205",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774871205",
            "telephone_number": "713-697-4705",
            "fax_number": "713-697-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W STE 940",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770085602",
            "telephone_number": "713-697-4705",
            "fax_number": "713-697-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDIOLA FAMILY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "713-697-4705"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127001904",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mendiolafh.com",
            "affiliation": "N",
            "endpointDescription": "www.mendiolafh.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "www.mendiolafh.com",
            "address_1": "1415 North Loop W Ste 940",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770085602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mendiola Family Healthcare PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Victor Mendiola MD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Victor Mendiola MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.