Individual
MRS. IRMA I MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2800 SHORELINE DR STE 120, DENTON, TX 76210-0130
(855) 383-1240
(855) 383-1241
Mailing address
PO BOX 50745, DENTON, TX 76206-0745
(855) 383-1240
(855) 383-1241
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84674
TX
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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