Provider Demographics
NPI:1275363632
Name:MENDEZ, VICENTE JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:VICENTE
Middle Name:
Last Name:MENDEZ
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 WESTMINSTER RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3650
Mailing Address - Country:US
Mailing Address - Phone:956-648-8708
Mailing Address - Fax:
Practice Address - Street 1:1920 WESTMINSTER RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3650
Practice Address - Country:US
Practice Address - Phone:956-648-8708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA18186363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant