Provider Demographics
NPI:1962822171
Name:MENDOZA, STEFFI MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEFFI
Middle Name:MARIE
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5300 TOWN AND COUNTRY BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1008
Mailing Address - Country:US
Mailing Address - Phone:469-956-3161
Mailing Address - Fax:844-689-1246
Practice Address - Street 1:5300 TOWN AND COUNTRY BLVD STE 240
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1008
Practice Address - Country:US
Practice Address - Phone:469-956-3161
Practice Address - Fax:844-689-1246
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-27
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXQ92022084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry