Organization · NPI-2

Diego F. Menchaca, M.D., P.A.

Clinic/Center · Laredo, TX

NPI number1821110560
StatusActive
Last updated in NPPESApr 30, 2013

Details

NPI
1821110560
Entity type
Organization (NPI-2)
Legal business name
Diego F. Menchaca, M.D., P.A.
Organization subpart
No
Enumeration date
Apr 4, 2007
Last updated
Apr 30, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterK4503TXYes

Other names

  • Diego F. Menchaca, M.D., P.A. (Doing Business As)

Practice location

1203 Welby Ct Ste 2
Laredo, TX 78045-1951

Phone 956-795-8300 · Fax 956-795-8303

Mailing address

1203 Welby Ct Ste 2
Laredo, TX 78045-1951

Phone 956-795-8300 · Fax 956-795-8303

Authorized official

Diego F Menchaca
Physician
9567958300

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.

Other Clinic/Center providers in Laredo, TX