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Organization
JAVIER MEDINA MD PA
Active
Organization
JAVIER MEDINA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADALIA SAENZ (BILLING SPECIALIST)
(956) 581-5100
Entity
Organization
Contact information
Practice address
1924 E GRIFFIN PARKWAY, MISSION, TX 78572-3106
(956) 581-5100
(956) 581-8608
Mailing address
PO BOX 5909, MCALLEN, TX 78502-5909
(956) 581-5100
(956) 581-8608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J7088
TX
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111655001
—
TX
05
—
189269701
—
TN
05
—
189269702
—
TX
Enumeration date
09/28/2006
Last updated
07/09/2015
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