| Dr Omar Mendoza, MD | |
|
1171 W Target Range Rd, Nogales, AZ 85621-2415 | |
| (520) 285-8020 | |
| Not Available |
| Full Name | Dr Omar Mendoza |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1171 W Target Range Rd, Nogales, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619977261 | NPI | - | NPPES |
| 33157 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 204682 (California) | Secondary |
| 207P00000X | Emergency Medicine | 33157 (Arizona) | Primary |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Emergency Services Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174932131 PECOS PAC ID: 7517289291 Enrollment ID: O20141208002099 |
| Entity Name | Sound Physicians Emergency Medicine Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518475557 PECOS PAC ID: 9739449802 Enrollment ID: O20180209001251 |
| Entity Name | Emergency Medicine Services Of Tx, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
| Entity Name | Hospitalist Medicine Physicians Of Texas - Cypress Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184458838 PECOS PAC ID: 5799217451 Enrollment ID: O20241018002155 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omar Mendoza, MD 4636 Caples Cir, El Paso, TX 79903-1511 Ph: (915) 881-4961 | Dr Omar Mendoza, MD 1171 W Target Range Rd, Nogales, AZ 85621-2415 Ph: (520) 285-8020 |
Dr. Patrick Hugh Mullett, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
James Butler, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-8020 | |
John Diaz, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1171 W Target Range Road, Carondelet Holy Cross Hospital, Nogales, AZ 85621 Phone: 520-287-2771 | |
Dr. Kendra M Smith, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-8020 | |
Dr. Simran Shashi Kapur, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-8020 | |
Dana L Houghton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-8020 | |
Bart L Mc Rae, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Carondelet Holy Cross Hospital, 1171 W. Target Range Road, Nogales, AZ 85621 Phone: 520-287-2771 |