Individual
BRANDY LEE-TAYLOR MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23610 WILLOW HAVEN DR, SPRING, TX 77389-1669
(713) 306-5123
Mailing address
23610 WILLOW HAVEN DR, SPRING, TX 77389-1669
(713) 306-5123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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