Individual
JESUS EDUARDO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2030 HEIGHTS DR STE 2, HARKER HEIGHTS, TX 76548-2185
(254) 870-3221
Mailing address
305 N HOLLY AVE, CLEVELAND, TX 77327-4215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39562
TX
122300000X
Dentist
D15060
MN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/01/2023
Last updated
03/18/2026
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