Provider Demographics
NPI:1770668360
Name:MENDEZ, KRISTINA BENEDICT (PA)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:BENEDICT
Last Name:MENDEZ
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Gender:F
Credentials:PA
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Mailing Address - Street 1:7599 GARTH RD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-7721
Mailing Address - Country:US
Mailing Address - Phone:281-425-9313
Mailing Address - Fax:281-425-9524
Practice Address - Street 1:7599 GARTH RD
Practice Address - Street 2:SUITE 700
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-7721
Practice Address - Country:US
Practice Address - Phone:281-425-9313
Practice Address - Fax:281-425-9524
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2023-02-06
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Provider Licenses
StateLicense IDTaxonomies
TXPA04818363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant