Provider Demographics
NPI:1467495036
Name:MENDIOLA, JOE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:
Last Name:MENDIOLA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:222 E RIDGE RD
Mailing Address - Street 2:SUITE 202C
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1251
Mailing Address - Country:US
Mailing Address - Phone:956-994-9100
Mailing Address - Fax:956-994-9101
Practice Address - Street 1:222 E RIDGE RD
Practice Address - Street 2:SUITE 202C
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1251
Practice Address - Country:US
Practice Address - Phone:956-994-9100
Practice Address - Fax:956-994-9101
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF69442080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine