Individual
MEDINA C BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 ST JOSEPH PKWY, HOUSTON, TX 77002-8301
(713) 555-7000
Mailing address
320 JACKSON HILL ST, #237, HOUSTON, TX 77007-7433
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P0168
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740443373
TRICARE SOUTH
TX
05
—
283359204
—
TX
01
—
8DB289
BCBS
TX
Enumeration date
07/03/2008
Last updated
12/27/2012
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