THEODORE BULACAN MENDOZA III

EXPECARE, LP

Dr THEODORE BULACAN MENDOZA III is a male medical professional, specializing in Nurse Practitioner. He graduated in 2017.

Contact

EXPECARE, LP

651 N DENTON TAP RD
COPPELL
TX
750192007

Tel: 9728991911

THEODORE BULACAN MENDOZA III Information

Npi 1336645928
Pac Id 3375808926
Professional Enrollment Id I20180531001085
Last Name MENDOZA
First Name THEODORE
Middle Name BULACAN
Suffix III
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EXPECARE, LP
Group Practice Pac Id 3274797691
Number Of Group Practice Members 11
Line 1 Street Address 651 N DENTON TAP RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City COPPELL
State TX
Zip Code 750192007
Phone Number 9728991911
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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