| Doctor Name: | RAMIRO MENDIOLA |
| NPI Number: | 1437499415 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 13917149 |
| Business Practice Address: | 8306 Azusena Rd Donna, TX - 78537 |
| Business Phone Number: | 9562509294 |
| Business Fax Number: | 9564649612 |
| Mailing Address: | 8306 Azusena, DONNA |
| State: | TX |
| Postal Code: | 785377155 |
| Phone Number: | 9562509294 |
| Fax Number: | 9564649612 |
| NPI Enumeration Date: | 02/27/2013 |
| NPI Last Update Date: | 02/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | 13917149 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |