Individual
DR. ENRIQUE CALEB MEDINA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
129 VISION PARK BLVD STE 211A, SHENANDOAH, TX 77384-3024
(936) 273-3900
(936) 273-3901
Mailing address
129 VISION PARK BLVD STE 211A, SHENANDOAH, TX 77384-3024
(936) 273-3900
(936) 273-3901
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
V0047
TX
Other
Enumeration date
08/11/2017
Last updated
06/17/2024
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