Organization
DAVID MEDUNA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MEDUNA M.D. (DIRECTOR)
(979) 764-6868
Entity
Organization
Contact information
Practice address
1602 ROCK PRAIRIE RD, STE 3100, COLLEGE STATION, TX 77845-8306
(979) 764-6868
(979) 694-8804
Mailing address
1602 ROCK PRAIRIE RD, STE 3100, COLLEGE STATION, TX 77845-8306
(979) 764-6868
(979) 694-8804
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026PV
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
1275726853
COLLEGE STATION CLINIC
TX
01
—
1821185299
BVCAA AGENCY
TX
05
—
184841802
—
TX
05
—
187842301
—
TX
05
—
187842302
—
TX
Enumeration date
05/09/2007
Last updated
07/15/2008
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