# MARELYN MEDINA MD & ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265604987
- **Authorized official:** MARELYN MEDINA (MD)
- **Authorized official phone:** (956) 686-7243

## Contact information

- **Practice address:** 412 E DOVE AVE, MCALLEN, TX 78504-2240
- **Practice address phone:** (956) 686-7243
- **Practice address fax:** (956) 668-7123
- **Mailing address:** 412 E DOVE AVE, MCALLEN, TX 78504-2240
- **Mailing address phone:** (956) 686-7243
- **Mailing address fax:** (956) 686-8067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 10/25/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00940U | MEDICARE | TX |