Individual
DENISE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20008 CHAMPION FOREST DR, SPRING, TX 77379-8694
(998) 689-2281
Mailing address
25120 PANTHER BEND CT APT 332, THE WOODLANDS, TX 77380-4237
(956) 251-3387
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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