Organization
MEDINA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAHNAZ SIDHWA (OFFICE MANAGER)
(281) 232-9772
Entity
Organization
Contact information
Practice address
300 N TEEL DR, STE 105, DEVINE, TX 78016-2650
(830) 663-3500
(830) 663-3505
Mailing address
17510 W GRAND PKWY S, STE 410, SUGAR LAND, TX 77479-2645
(281) 232-9772
(281) 232-3885
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
K1960
TX
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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