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Individual
STEFAN ANDRES MEDINA BRAVO
Active
Individual
STEFAN ANDRES MEDINA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
307836
NY
207L00000X
Anesthesiology Physician
BP10060896
TX
207R00000X
Internal Medicine Physician
BP10060896
TX
Other
Enumeration date
05/23/2017
Last updated
03/05/2021
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