Provider Demographics
NPI:1083799001
Name:GARCIA-MENDEZ, LEONARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARDO
Middle Name:
Last Name:GARCIA-MENDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 S CYNTHIA ST STE 106
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1387
Mailing Address - Country:US
Mailing Address - Phone:956-687-3318
Mailing Address - Fax:956-687-4878
Practice Address - Street 1:2010 S CYNTHIA ST STE 106
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1387
Practice Address - Country:US
Practice Address - Phone:956-687-3318
Practice Address - Fax:956-687-4878
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2084N0402X2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089894202Medicaid
TXOOU84GOtherBLUE CROSS PROVIDER #
TX089894202Medicaid
TXF05532Medicare UPIN