Individual
MR. RICHARD A MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
800 W RANDOL MILL RD, ARLINGTON, TX 76012-2504
(817) 960-6100
Mailing address
3604 COVE MEADOW LN, FORT WORTH, TX 76123-2378
(817) 845-3419
(817) 845-3419
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
702529
TX
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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