| NPI | 1396524054 |
|---|---|
| Doing Business As | MENDIVIL CLINIC FOR FOOT AND ANKLE SURGERY AND REGENERATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JASON MENDIVIL Owner 915-309-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| 208D00000X General Practice | |
| 207Q00000X Family Medicine | |
| 208600000X Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2025-07-30 |