Individual
EDUARDO ALEJANDRO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1931 MARKET CTR APT 2106, DALLAS, TX 75207-3381
(915) 541-5885
Mailing address
1931 MARKET CTR APT 2106, DALLAS, TX 75207-3381
(915) 541-5885
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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