Individual
MARIA S MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN WHNP
Contact information
Practice address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9901
(512) 901-9765
Mailing address
2901 MONTOPOLIS DR, AUSTIN, TX 78741-6411
(512) 978-9901
(512) 901-9765
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP103647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124802302
—
TX
Enumeration date
06/29/2006
Last updated
04/23/2019
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