Individual
BERNARDO ANDRE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2204 PEASE ST, HARLINGEN, TX 78550-8308
(956) 425-2812
Mailing address
2115 E VINSON AVE APT 5202, HARLINGEN, TX 78550-4044
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2152874
TX
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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