Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EMMANUEL MENDOZA, PA-C
ActiveEMMANUEL MENDOZA, PA-C is a Physician Assistant healthcare provider located in VANCLEAVE, Mississippi. NPI 1225856602 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VANCLEAVE, MS
Registration Details
- NPI Number
- 1225856602
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2024 (1.8683976709848 yrs)
- Last Updated
- Feb 25, 2025
- License
-
PA00846 (MS)
Practice Information
- Address
-
6300 E LAKE BLVD STE 201VANCLEAVE, MS, 395656771Browse MS providers · Browse ZIP 39565
- Phone
- 2282302663
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.