Provider Demographics
NPI:1619598489
Name:MENDIOLA, MONICA AISHA (PA-C)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:AISHA
Last Name:MENDIOLA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7412 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5608
Mailing Address - Country:US
Mailing Address - Phone:956-207-1127
Mailing Address - Fax:
Practice Address - Street 1:7412 N 19TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5608
Practice Address - Country:US
Practice Address - Phone:956-207-1127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-02
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant