Individual
DR. MA LUCIA CANADA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5945 SARATOGA BLVD, SUITE C, CORPUS CHRISTI, TX 78414-4225
(361) 853-3222
(361) 980-3619
Mailing address
PO BOX 6070, CORPUS CHRISTI, TX 78466-6070
(361) 853-3222
(361) 561-2681
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K0930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110645202
—
TX
Enumeration date
08/21/2005
Last updated
11/01/2019
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