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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIELLE CORAZON BANTOG MENDOZA MD
NPI 1801582473
Internal Medicine in Lubbock, TX

Active since April 17, 2023
3615 19TH ST, LUBBOCK, TX 79410(806) 725-0000 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Marielle Corazon Bantog Mendoza Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIELLE CORAZON BANTOG MENDOZA MD (NPI 1801582473) is an individual internal medicine provider in Lubbock, Texas, licensed in Texas (W8594) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1801582473
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIELLE CORAZON BANTOG MENDOZACredential: MD
Location Address3615 19TH STLubbock, TX 79410-1203
Mailing Address3615 19th StLubbock, TX 79410-1203 · (806) 725-0000
Phone(806) 725-0000
Sole ProprietorNo
Enumeration DateApril 17, 2023
Last NPPES UpdateSeptember 28, 2026
NPPES CertifiedSeptember 28, 2026
✔ NPI 1801582473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · W8594
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3615 19TH ST, Lubbock, TX 79410
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Other Names 1

Former Name (1)Marielle Corazon Fune Bantog Md

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUSTAFA ALY MD
Internal Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4130
BARBARA KATHLEEN PARKER RN
Registered Nurse
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4644
BRANDON THOMAS
Registered Nurse
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-0000
DR. HUGH H PAIK MD
Pathology (Anatomic Pathology & Clinical Pathology)
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 744-1887
COVENANT HEALTH SYSTEM
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-1011
MISS JAMIE LEIGH HOCKER MS, RD, LD
Dietitian, Registered
3615 19TH ST, THE LIFESTYLE CENTRE
LUBBOCK, TX 79410
Lubbock County (806) 725-4386
SCOTT ALAN LETBETTER JR. M.D.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-2233
DR. MARIO L PINOLI M.D.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marielle Corazon Mendoza's NPI number?

The NPI number for Marielle Corazon Mendoza is 1801582473. It was assigned to this individual provider in the NPPES registry on April 17, 2023. The provider is also known as Marielle Corazon Fune Bantog MD.

Where is Marielle Corazon Mendoza located?

Marielle Corazon Mendoza practices at 3615 19th St, Lubbock, TX 79410. The listed phone number is (806) 725-0000.

What is Marielle Corazon Mendoza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Marielle Corazon Mendoza was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.