Individual
MRS. GLENDA FABIOLA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN-ACNP
Contact information
Practice address
6400 FANNIN ST STE 2150, HOUSTON, TX 77030-1524
(713) 486-8100
Mailing address
6400 FANNIN ST STE 2150, HOUSTON, TX 77030-1524
(713) 486-8100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP117917
TX
364SA2100X
Acute Care Clinical Nurse Specialist
702304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326773403
—
TX
Enumeration date
10/07/2011
Last updated
05/05/2025
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