BLAKE MENCHACA

HOUSTON, TX
NPI1699217547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP132573)
Additional Taxonomies363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: TX  AP132573)
Enumeration Date2016-11-09
Last Update Date2024-10-03
Business Address
BLAKE MENCHACA AG-ACNP
6720 BERTNER AVE
HOUSTON, TX 77030-2604
Phone number: 823-355-2666
Mailing Address
BLAKE MENCHACA AG-ACNP
21 SPURS LN STE 230B
SAN ANTONIO, TX 78240-1669
Phone number: 210-690-7400