Provider Demographics
NPI:1326211061
Name:MENDEZ, VERONICA R
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:R
Last Name:MENDEZ
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 1:660 SW MILITARY DR
Mailing Address - Street 2:SUITE V
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1645
Mailing Address - Country:US
Mailing Address - Phone:210-927-2006
Mailing Address - Fax:210-927-2051
Practice Address - Street 1:660 SW MILITARY DR
Practice Address - Street 2:SUITE V
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1645
Practice Address - Country:US
Practice Address - Phone:210-927-2006
Practice Address - Fax:210-927-2051
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies