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Individual
MR. ROBERTO DE JESUS MEDINA
Active
Individual
MR. ROBERTO DE JESUS MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T2438
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
T2438
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/04/2018
Last updated
06/11/2023
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