| Doctor Name: | CYNTHIA MENCHACA |
| NPI Number: | 1285867150 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1920 Vista Bonita Dr Eagle Pass, TX - 788526517 |
| Business Phone Number: | 8307580889 |
| Business Fax Number: | |
| Mailing Address: | Po Box 4501, EAGLE PASS |
| State: | TX |
| Postal Code: | 788534501 |
| Phone Number: | 8307580889 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2009 |
| NPI Last Update Date: | 08/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |