Individual
ANASTACIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1214 N POST OAK RD STE 100, HOUSTON, TX 77055-7236
(713) 880-4400
Mailing address
49 BRIAR HOLLOW LN UNIT 401, HOUSTON, TX 77027-9307
(281) 513-3636
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2061140
TX
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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