Individual
INGLAN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-PNP
Contact information
Practice address
7000 WOODHUE DR BLDG B, AUSTIN, TX 78745-5454
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1024510
TX
Other
Enumeration date
01/10/2021
Last updated
06/25/2021
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