Individual
FRANK MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5494 FM 2101, QUINLAN, TX 75474-3437
(817) 915-2425
Mailing address
5494 FM 2101, QUINLAN, TX 75474-3437
(817) 915-2425
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT042911
TX
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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