Individual
CORINNE S MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(726) 228-0333
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(726) 228-0333
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101247643
VA
2084P0800X
Psychiatry Physician
2016-01990
NC
2084P0800X
Psychiatry Physician
ME122558
FL
Other
Enumeration date
11/06/2008
Last updated
09/25/2024
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