| Doctor Name: | MS. ROSA ISELA MENDOZA |
| NPI Number: | 1316106982 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 695861 |
| Business Practice Address: | 1409 Highway 22 Whitney, TX - 766927624 |
| Business Phone Number: | 2546947144 |
| Business Fax Number: | |
| Mailing Address: | 492 Fm 2604, WHITNEY |
| State: | TX |
| Postal Code: | 766924664 |
| Phone Number: | 2546947144 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2008 |
| NPI Last Update Date: | 06/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 695861 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |