Individual
MIGUEL A MEDINA VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
20309 FIELDTREE DR, HUMBLE, TX 77338-2344
(832) 795-1305
Mailing address
20309 FIELDTREE DR, HUMBLE, TX 77338-2344
(832) 795-1305
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
908783
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
908783
REGISTERED NURSE
PR
Enumeration date
06/12/2019
Last updated
06/12/2019
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