Individual
JOSUE A. MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 ISOM RD, SAN ANTONIO, TX 78216
(210) 622-8000
Mailing address
622 ISOM RD, SAN ANTONIO, TX 78216-4464
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
P9400
TX
2085R0202X
Diagnostic Radiology Physician
102292
GA
Other
Enumeration date
07/01/2008
Last updated
01/14/2025
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