DR. GERALD MENDOZA SO (NPI# 1235294695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235294695 |
| Entity Type | Individual |
| Full Name | DR. GERALD MENDOZA SO |
| Credential | MD |
| Practice Address |
4032 Mcdermott Rd Ste. 100 Plano TX 75024-7733 |
| Practice Telephone | 9727699000 |
| Practice Fax Number | 9727690035 |
| Mailing Telephone | 9727699000 |
| Mailing Fax Number | 9727690035 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
K4572 | TX | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
K4572 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4032 MCDERMOTT RD STE. 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-7733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003369224 | Tcn Pediatric Neurology, Pllc | Psychiatry & Neurology | 4032 Mcdermott Rd, Suite 100, Plano, TX 75024-7733 | 2016-07-25 |
| 1124317243 | Safiullah Shareef | Psychiatry & Neurology | 4032 Mcdermott Rd, Suite 100, Plano, TX 75024-7733 | 2011-03-29 |
| 1588980072 | Daniel Gossett | Psychiatry & Neurology | 4032 Mcdermott Rd, Suite 100, Plano, TX 75024-7733 | 2010-04-09 |
| 1619153343 | Lina Shah | Psychiatry & Neurology | 4032 Mcdermott Rd, Suite 100, Plano, TX 75024-7733 | 2008-01-11 |
| 1508060187 | Patricia Salazar Mireles | Psychiatry & Neurology | 4032 Mcdermott Rd, Suite 100, Plano, TX 75024-7733 | 2007-06-14 |
| 1922212620 | Mohsin Maqbool | Pediatrics | 4032 Mcdermott Rd, Ste 100, Plano, TX 75024-7733 | 2007-05-10 |
| 1831248129 | Robert Steven Chudnow | Psychiatry & Neurology | 4032 Mcdermott Rd, Suite 100, Plano, TX 75024-7733 | 2007-01-09 |
| 1962559088 | Anthony Richard Riela | Psychiatry & Neurology | 4032 Mcdermott Rd, Suite 100, Plano, TX 75024-7733 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689953093 | Child Neurology Clinics of Texas | Psychiatry & Neurology | 4032 Mcdermott Dr Ste 100, Plano, TX 75024 | 2011-08-16 |
| 1114217593 | Andrew Wayne Hurd | Psychiatry & Neurology | 4032 Mcdermott Rd Ste 100, Plano, TX 75024-7739 | 2011-04-19 |
| 1043371784 | Saadat Ali Khan | Psychiatry & Neurology | 4001 W 15th St Ste 375, Plano, TX 75093-5864 | 2006-12-13 |
| 1821014051 | Janice Elaine Brunstrom-hernandez | Psychiatry & Neurology | 7709 San Jacinto Place, Suite 203, Plano, TX 75024-3215 | 2006-07-14 |
| 1629633490 | Tcn Pediatric Neurology Pllc | Psychiatry & Neurology | 4032 Mcdermott Rd Ste 100, Plano, TX 75024-7739 | 2019-05-07 |
| 1003369224 | Tcn Pediatric Neurology, Pllc | Psychiatry & Neurology | 4032 Mcdermott Rd, Suite 100, Plano, TX 75024-7733 | 2016-07-25 |
| 1497149595 | Kendra Lee Williams Beneski | Psychiatry & Neurology | 4032 Mcdermott Rd Ste 100, Plano, TX 75024-7739 | 2015-03-26 |
| 1134520182 | 1 Cp Place Pllc | Psychiatry & Neurology | 7709 San Jacinto Pl, Suite 203, Plano, TX 75024-3215 | 2014-09-09 |
| 1073924502 | North Dallas Neurology, Pllc | Psychiatry & Neurology | 4112 W 15th St, 100b, Plano, TX 75093-5862 | 2014-05-19 |
| 1144647264 | Rachna Patel | Psychiatry & Neurology | 4032 Mcdermott Rd Ste 100, Plano, TX 75024 | 2014-03-26 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.