Individual
MRS. ROSELINDA MEDINA-CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ROT
Contact information
Practice address
1630 S BROWNLEE BLVD, CORPUS CHRISTI, TX 78404-3134
(361) 980-9652
Mailing address
7685 DALLAS ST, CORPUS CHRISTI, TX 78413-6101
(361) 844-7782
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
101761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005392801
—
TX
Enumeration date
04/09/2009
Last updated
04/09/2009
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