Individual
PATRICIA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2312 WESTERN TRAILS BLVD STE A102, AUSTIN, TX 78745-1677
(512) 840-1273
(888) 326-4711
Mailing address
3614 BILL PRICE RD, DEL VALLE, TX 78617-3630
(512) 854-4193
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
775428
TX
363L00000X
Nurse Practitioner
Primary
1018205
TX
Other
Enumeration date
01/23/2020
Last updated
04/15/2024
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