Provider Demographics
NPI:1043918915
Name:MENDOZA, DEANNA FRANCESCA
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:FRANCESCA
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21003 SKYHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8890
Mailing Address - Country:US
Mailing Address - Phone:713-557-0138
Mailing Address - Fax:
Practice Address - Street 1:21003 SKYHAVEN CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-8890
Practice Address - Country:US
Practice Address - Phone:713-557-0138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program