Individual
FABIOLA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UTMB GME C/O E ESPINO 301 UNIVERSITY BLVD 5.138 RS, GALVESTON, TX 77555-0001
(713) 397-3436
Mailing address
6502 MCMAHAN DR, LEAGUE CITY, TX 77573
(713) 397-3436
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10089980
TX
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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