Individual
DR. CHRISTOPHER ARIEL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2235
Mailing address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2235
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
283559
NY
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
S4821
TX
207Q00000X
Family Medicine Physician
283559
NY
207Q00000X
Family Medicine Physician
S4821
TX
Other
Enumeration date
05/25/2012
Last updated
07/14/2020
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