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Individual

DR. EDWARD A. MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-4003
(210) 567-6729
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N5240
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
281536701
TX
01
281536702
CSHCN
TX
Enumeration date
12/27/2007
Last updated
09/07/2011
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