Individual
JOSE MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11037 FM 1960 RD W, SUITE B1, HOUSTON, TX 77065-3600
(832) 237-9400
(832) 237-9411
Mailing address
PO BOX 19370, HOUSTON, TX 77224-9370
(832) 237-9400
(832) 237-9411
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D8575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163095601
—
TX
01
—
8L8930
MEDICARE PTAN
TX
Enumeration date
07/04/2006
Last updated
07/17/2011
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