| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARIO MENDEZ CELIS | 1376878819 | 2024-11-08 |
Mario Mendez Celis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1376878819. Registration indicates Mario Mendez Celis is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mario Mendez Celis PA |
| Practice Office Address | 7200 CAMBRIDGE ST FL 10 HOUSTON, TX US |
| Practice Office Telephone | 7139866000 |
| Mailing Address | 315 N SAN SABA STE 1135 SAN ANTONIO, TX 782073255 US |
| Business Telephone | 2107044275 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 301 University Blvd | Galveston, TX 775555302 | 4097722222 |
| 1 Wyoming St Ste 3272 | Dayton, OH 454092722 | 9372084370 / 9372086797 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA01002
TX |