Provider Information for 1922127638
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Mrs. LORENA MENDOZA-GIBSON LPC
Sex: Female
NPI: 1922127638
Last Updated: 2024-11-02
Certification Date: 2024-11-02
Certification Date: 2024-11-02
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1922127638 | ||||||||||||
| Enumeration Date | 2007-03-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 430 W SUNSET RD STE 400 SAN ANTONIO, TX 78209-1772 United States Phone: 844-824-8775 | Fax: | ||||||||||||
| Primary Practice Address | 430 W SUNSET RD STE 400 SAN ANTONIO, TX 78209-1772 United States Phone: 844-824-8775 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 540 OAK CENTRE DR STE 205 | ||||||||||||
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