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MRS. MARY MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
4300 COMMUNITY AVE, MCKINNEY, TX 75071-2535
(972) 547-5232
Mailing address
13353 CITRUS LN, FRISCO, TX 75035-0024
(972) 400-5060

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1057358
TX

Other

Enumeration date
10/23/2021
Last updated
10/23/2021
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