Provider Demographics
NPI:1528541224
Name:MENA, FRANCES MARIE
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:MARIE
Last Name:MENA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:MARIE
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:506 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:CARRIZO SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78834-3815
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:506 S 7TH ST
Practice Address - Street 2:
Practice Address - City:CARRIZO SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78834-3815
Practice Address - Country:US
Practice Address - Phone:830-322-7463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician