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Individual

MR. LINUS SCOTT MEDLEY

Active
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Individual

MR. LINUS SCOTT MEDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP142679
TX
363LF0000X
Family Nurse Practitioner
R790626
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
412015601
TX
01
AP142679
STATE LICENSE
TX
Enumeration date
01/24/2011
Last updated
01/06/2021
About Stedi
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  • EDI platform