Organization
PEDIATRICS AND NEONATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA MEDINA M.D. (PRESIDENT)
(956) 546-1689
Entity
Organization
Contact information
Practice address
900 E ALTON GLOOR BLVD, SUITE 7, BROWNSVILLE, TX 78526-3355
(956) 546-1689
(956) 546-1680
Mailing address
900 E ALTON GLOOR BLVD, SUITE 7, BROWNSVILLE, TX 78526-3355
(956) 546-1689
(956) 546-1680
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E8070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00EJ08
BCBS
TX
05
—
112050301
—
TX
05
—
112050302
—
TX
01
—
8A6760
BCBS
TX
Enumeration date
12/05/2007
Last updated
04/14/2010
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