Edna De Guzman Mendoza
Physical Therapist in Houston, TX. Individual provider (NPI-1).
NPI number1205302007
StatusActive
Last updated in NPPESOct 18, 2018
Details
- NPI
- 1205302007
- Entity type
- Individual (NPI-1)
- Name
- Edna De Guzman Mendoza
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2018
- Last updated
- Oct 18, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1075612 | TX | Yes |
Practice location
2929 Post Oak BlvdHouston, TX 77056-6120
Phone 713-830-5019
Mailing address
8911 Dawnridge DrHouston, TX 77071-2433
Phone 281-702-9111
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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