Individual
DR. MICHAEL V MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7115 GREENVILLE AVE STE 210, DALLAS, TX 75231-5104
(214) 696-4696
(214) 696-4699
Mailing address
7115 GREENVILLE AVE STE 210, DALLAS, TX 75231-5104
(214) 696-4696
(214) 696-4699
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME105786
FL
207Y00000X
Otolaryngology Physician
MT187464
PA
207Y00000X
Otolaryngology Physician
Primary
V9367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001696700
—
FL
Enumeration date
07/11/2008
Last updated
11/05/2025
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