Individual
STEVEN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
1308 35TH ST, LUBBOCK, TX 79412-1301
(806) 749-2300
Mailing address
1111 BARRANCA DR STE 700, EL PASO, TX 79935-5006
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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